San Juan Quilters Guild

Membership registration

Yearly Dues $30.00, Auxiliary $5.00

Please Print

Name_________________________________________________

Phone # (home)_________________________________________

(work)________________________(cell)_____________________

Address_______________________________________________

City, State, Zip__________________________________________

E-mail_________________________________________________

Birthday(M/D/Y)________________

Attend   Day______ Evening_______ Both_______

Receive Newsletter: Mail______ E-Mail________

Regular______ or Auxiliary________