Membership Renewal Form - Valley Quiltmakers Guild

Members and new applicants, please fill out this form and pay online.

If you prefer to send or bring in a paper copy, go to the Membership page.

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email(Required)

Phone - Indicate Cell or Home(Required)

Birthday Month and Day

Emergency Contact Name

First Last

Emergency Contact Relationship

Emergency Contact Phone

Dues include Opportunity Quilt tickets. After you hit "submit" you will be taken to Square to pay.

Annual Membership Dues (New & Returning)

Price:

No. of Annual Membership Dues you are purchasing (1, 2, etc.)

Or leave blank for none.

Name Badge

Price:

No. of Name Badges ordering (1,2, etc.)

Or leave blank for none.

Discounted Rate for Past Presidents Only

Price:

No. of Discounted Rate Membersips you are purchasing (1,2, etc.)

Please enter a number from 1 to 5.

Or leave blank for none.

Total

Credit Card(Required)

Cardholder Name

Card Details

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