Ladies of the Lakes Quilters' Guild

Membership for January 1, 2017 through December 31, 2017

Please print clearly and double-check all information

 


 

CIRCLE ONE:                 New               Renewal                    Date: ________________________

 

Name: ______________________________________________Birthday (month/date) _______________

 

Residential Address: ____________________________________________________________________

 

Mailing Address (if different): _____________________________________________________________

 

Phone: _______________________ Email: __________________________________________________

 

Winter Address: ______________________________________Winter Phone: ______________________

 


 

Membership fee (annual):.................................... $25.00:  ___________  (Includes a Membership Book)


Guild Pin fee:..........................................................$2.50:  ___________


If you would like the membership book mailed to you, please include an additional $2.00 to cover shipping charges.


Mail completed form and check, by OCTOBER 31, 2016, payable to LLQG to: 


Gail Kelley
40 Cielo Drive
Dover, NH 03820

If you feel you will be unable to attend a meeting to pick up your new membership card, please enclose a
stamped, self-addressed envelop.

2016 Membership Books will be issued to new members only. Current and renewed members are encouraged
to update their 2016 books throughout the year, with pictures and information from the newsletters. In
January 2018 new books will be given to everyone upon payment of their membership dues.

Check One: I wish to receive the 6 newsletters by US Postal delivery  [    ]    Email delivery  [    ] (encouraged)

Optional: 
    What topics would you like to learn about? ___________________________________________________
    What quilting skill would you be willing to share? ______________________________________________



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