Quilt
Professionals'
Network

Membership Application


Renewal New

Name:

Business Name:

Home Address 1:

Home Address 2:

City:    State:        Zip Code: -

Telephone: Fax:

Email:

Website URL:

Specialties:

 

Attach a check for $15.00 payable to QPN. Membership runs from January 1- December 31 of each year.

this form and send check to: 

QPN Membership
Peg Gilson- Membership Chair

224 Winterberry Drive

Dover, DE 19946
302-734-5190
mrg235@yahoo.com  

for office use
*copy for membership chair
*copy to president (to send welcome letter)
*copy to newsletter Editor ( to add to mailing list)
*copy & check to Treasurer
*copy to webmistress