NUTMEG QUILTERS GUILD

Membership Application for September 2005 to September 2006

Check One:       Renewal [  ]                  New Member [  ]                                 

Name:

.

[   ]Check here if a// of the information below is the same as in our current directory. 

If there are no changes, you do not need to fill in the remaining information.

         Address:

         City:                                                       State:                                   Zip:

         Home Phone:                                          Fax:

         E-mail Address:                                                                                  Other contact info:

Annual membership dues are $25.00. Please make checks payable to Nutmeg Quilters Guild, Inc.

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 Please return the completed form, with your check or cash, at the September meeting, or mail to

SAMorrissey 43 Dark Entry Road, Washington, CT  06793. 

 SAM’s phone number is 860-868-1804 and email samorrissey@charter.net if you have any questions.