West Virginia Quilters, Inc. Membership Application also available at wvquilters.org/join.html

Dues are $15.00 for each calendar year and can be paid for 1 or 2 years. After CAREFULLY typing in your information, please PRINT this

form and MAIL with your dues check to:

Joni Hoffman, 225 Black Birch Path, Duck, WV 25063-9174

*Payable to “West Virginia Quilters, Inc.”

Our website is www.wvquilters.org

Individual Membership □ 1 year ($15) □ 2 years ($30) Dues $______________

Would you like to include a tax-deductible donation to support WVQI programs? Donation $____________

Date _________________ Check/M.O. #__________________ Total Amount Enclosed $_________________

Name ____________________________________________________________________________________

Home Phone __________________ Cell ____________________ WV County ________________________

Address __________________________________________________________________________________

City ________________________________________ State __________________ Zip _______________

Email ____________________________________________________________________________________

Please list your WV Guild(s) and/or Quilt Group(s). ________________________________________________

_________________________________________________________________________________________

Would you like us to print a directory for you? □ Yes Directories will be available at meetings.

Do you have expertise in an area that could benefit WV Quilters, Inc., such as CPA, accounting, grant writing, legal, etc?

□ Hand Quilter □ Certified Teacher □ Teacher □ Design / Sell Patterns

□ Long Arm Quilter □ Certified Judge □ Judge □ Sell Quilted Items

□ Domestic Machine Quilter □ Certified Appraiser □ Speaker □ Other _________________

_________________________________________________________________________________________ _________________________________________________________________________________________

Do you own a quilt shop? □ Yes □ No Other quilt-related business? □ Yes □ No

Please describe goods or services offered: _______________________________________________________

_________________________________________________________________________________________

Business Name ____________________________________ Website _________________________________

Address (if different from above) ______________________________________________________________

Are you willing to receive most WVQI communications via email, including newsletters, renewal notices, and other letters or announcements? □ Yes □ No

Expired M.O./Check #

Amt. Rec’d Date

If No Storefront: Internet Sales Phone/Mail By Appointment

□ Yes □ No □ Yes □ No □ Yes □ No

For Office Use Only