Your Name……………………………………………………..Nickname (if any)………………………………………..

Street Address/Apt. No……………………………………………………………………………………………………….

Cit/State/Zip……………………………………………………………Birthday (MM/DD/YY)………………………….

Home Phone………………………………………………… Cell or Work Phone……………………………………….

E-Mail Address……………………………………………………………………………………………………………………

New Member? __ Yes __ No If renewing member, in which year did you join?……………….

National, Quilt Association (NQA) Member? __ Yes __ No

Do you belong to another Guild? ? __ Yes __ No It’s Name………………………………………….

No quilting experience is necessary; all skill levels are welcome. However, a little information about you helps the guild plan programs and activities to meet the needs and interests of its membership:

Which quilting technique(s) do you use most frequently? __ Piecing/Patchwork__ Applique __ Both
How do you usually finish your quilt tops? __ Quilt by Hand __ Quilt by Machine __ Long-Arm __Other

What would you like to learn about quilting? What suggestions do you have for workshops, programs, or lectures? Use the back of this form if needed.

Are you interested in:

Annual Retreats __ Yes __ No __ Maybe
Bus trips to quilt shows or shopping trips? __ Yes __ No __ Maybe
Workshops, demonstrations and seminars? __ Yes __ No __ Maybe
Love quilts and other community outreach projects__ Yes __ No __ Maybe
Helping to teach or mentor young quilters? __ Yes __ No __ Maybe
Are you acquainted with any other member(s) of Millennium Quilters Guild? If so, who?

Our membership period is Jan 1 thru Dec 31. Dues are $12.00 or $6.00 after June 1. Make check payable to: Millennium Quilters Guild and bring it with this form to any meeting or mail to: MQG, 796 E. Shannon Rd., Bridgeport, WV 26330.