NAPLES QUILTERS GUILD Membership Application Form

April 1, 2016 – March 31, 2017

MAIL FORM CHECK TO (payable to NQG)

Jeanetta Whelan

4190 7th Avenue NW

Naples, FL 34119


Monthly Meetings: 6:30 p.m. 3rd Thursday

Meeting Location: Emmanuel Lutheran Church

777 Mooring Line Drive

Naples, FL 34102

ANNUAL DUES: $25

NAME BADGES: $10

Annual Dues Policy: You are encouraged to pay your annual dues by check. If you choose to pay by cash, you must obtain a receipt from Membership Chair at the time of payment. NQG will not be responsible for dues that are paid by cash and a receipt was not obtained. Membership year starts April 1 of each year and every year thereafter.

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DO NOT WRITE IN THIS SPACE - Membership Chair use only

Date Received __ Amount Check # Cash $______Badge Yes ¨ No ¨

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PLEASE PRINT

Information listed below must be received by April 17, 2016 to be included in 2016-2017 Directory.

Name:______Date:______

Florida Address:______City:______FL. Zip:______

Florida Home Phone Number:______Cell/Work Phone:______

Email Address:______Dates in Florida:______

Northern Address:______City:______State:______Zip:______

Northern Home Phone Number:______Birthday:______

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PLEASE COMPLETE ALL AREAS

NEW MEMBER ¨ RENEWAL ¨

PLEASE NOTE: IF YOU HAVE AN EMAIL ADDRESS, YOU WILL AUTOMATICALLY BE EMAILED A ROSTER. SHOULD YOU WISH A HARD COPY OF THE ROSTER, PLEASE, INITIAL HERE.

I would like to learn how to

Nationally known or local quilters I would to hear include

Workshops I would like to attend (list subject, idea or interest)

Please check office, committee or guild activity where you are willing to help:

Audit / _Member-led Workshops / Quilt Show / Special skills/areas of expertise
Budget / Monthly Projects / Travel / Computer
Community Service / Gathering Stitches / Workshops / Artwork
Historian / Newsletter / Photography
Hospitality / Programs / Other
Membership / Public Relations