MEMBERSHIP APPLICATION

Membership is open to all persons interested in quilting, from beginner to expert.  Annual dues are $15, or $10 for seniors over 62. 
Name:  __________________________________
Address:  __________________________________
City: __________________________________
State:  _____________  Zip: ________________
Telephone:   _________________________________
e-mail: __________________________________
Birthday: (Month & day only) ____________________
Please PRINT a copy of this form, make checks payable to SEAPORT QUILTERS' GUILD, and bring both to a meeting,
OR
mail to: Seaport Quilters' Guild
P.O. Box 491
Lewiston, ID 83501