PLEASE PRINT CLEARLY AS THIS INFO WILL BE USED FOR GUILD ROSTER.

 

Name  __________________________________________________________

 

 Address_________________________________________________________

 

 

Phone #  ___________________________  E-mail_______________________ 

 

_____ Yes, please send my newsletter by e-mail; 

 

_____  No, I prefer to receive my newsletter by regular mail.

 

Winter address (if different from above)________________________________

 

____________________________________Phone #_____________________

 

Dates of winter address - from ______________ to ______________________

 

When is your birthday?__________________________

 

Please make your check for $25.00 dues payable to Milford Valley Quilter’s Guild, and return with this form to: Milford Valley Quilters Guild, P.O. Box 77, Milford, PA ZIP 18337   .

 

Suggestions for programs, workshops, activities that you would be interested in for next year ________________________________________________________________