The Quilt Professionals Network
Membership Application

Renewal New

Name:

Business Name:

Home Address 1:

Home Address 2:

City:    State: PA MD VA NJ NY        Zip Code: -

Telephone: Fax:

Email:

WebSite URL:

Specialties:

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

this form and send check to: 

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