MEMBERSHIP APPLICATION

JANUARY 1- DECEMBER 31, 20____

NAME:_________________________________________________________________

ADDRESS:______________________________________________________________

CITY & STATE:__________________________________________________________

e-mail:__________________________________________________________________

EVENING PHONE:_______________________________________________________

DAY TIME PHONE:______________________________________________________

If work #, is it O.K. to call? Yes___________ No_____________

BIRTHDATE: Month______________ Day________________ Year (optional)_______________

ANNIVERSARY: Month____________Day_________________ Year_______________optional

Favorite hobbies:___________________________________________________________________

Favorite Collectable(s)________________________________________________________________

Favorite Color:______________________

Favorite Quilt pattern:________________________________________________________________

Favorite Quilt made____________________________________________________

Quilt technique(s) you would like to learn:_______________________________________________

Favorite guild activities past or present:___________________________________________________

What guild activities would you like to see in the future?:____________________________________

Do you have a technique or class that you would like to share?:________________________________

__________________________________________________________________________________

Ideas or other comments:

Please mail to:

NORTHWIND QUILTER’S GUILD

PO BOX 1886

CORDOVA AK 99574