CHARLOTTESVILLE AREA QUILTERS GUILD
2010 Membership Application

NAME_________________________________________________

ADDRESS______________________________________________

CITY_________________________STATE______ZIP__________

PHONE______________

E-MAIL ______________________________BIRTH MONTH/DAY_____________


GUILD MEMBERSHIP AMOUNT DUEAMOUNT PAID
CAQG (AREA GUILD required)$15.00$15.00
Courthouse Steps$ 5.00____
Crozet$ 5.00____
Loose Threads$10.00
Moonlighters$ 5.00____
Nelson Quilters$5.00____
Tuesday Morning$15.00____


TOTAL
  ____

You must join the area guild, and you may join as many local groups as you want (or none).

Make out your check to CAQG and mail to

CAQG
ATTN:  Membership
P.O. Box 6724
Charlottesville, VA 22906