Membership Form
Use this Form to Join MSQG Today
Please Print
___________New Member __________Renewal My NQA Number ____________________________
National Quilters Association - if member
Name ____________________________________________________________________________
Address __________________________________________________________________________
City ________________________________State ___________________ Zip __________________
Home Phone ________________________________ Cell Phone________________________________
E-Mail Address _____________________________________________________________________
Guild/Club Affiliations (if any)__________________________________________________________
Local Offices Held (if any) _____________________________________________________________
Dues are $20 for 1 year July 1 – June 30)__________________________________________________
Dues are $50 for 3 years (July 1 – June 30)________________________________________________
Dues are $15 for ½ year (January – June 30)________________________________________________
MSQG Pin $5 ______________________________________________________________________
Check # ________________ Total ____________
Make check payable to Missouri State Quilters Guild and send to: Donna Reed
5166 S Hwy 94 – Augusta MO 63332 – 636-482-4591 – ereed002@centurytel.net
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