To print this page, you must copy and paste into a word processing program. You can also make one out at our monthly meeting.
Membership Application Form
Membership Year 2018-2019
Name: Phone:
Address: City:
State: Zip:
Winter Address:
Dates @ Winter address From: To:
E-Mail:
I would like to receive my newsletter e-mail or regular mail
Month and Day of Birth:
I will serve on the hospitality committee for the month of
This task is to coordinate the refreshments for our social hour prior to meeting and to clean up after meeting.
I would be interested in sharing my talents or skills with a demonstration and/or instruction at our meeting about
This could be extended to a workshop on the subject after lunch.
I would be interested in serving on the Board (list position)
I would be interested in serving on an existing committee
Membership fee is: $20.00/year
Make checks payable to: Piecemakers of Elmira
Payment:
Check Number Cash Date:
Received by Marcy Coggins on:
Given to Treasurer: Initials: Date:
Revised: June 1, 2018 Card:
Membership Year 2018-2019
Name: Phone:
Address: City:
State: Zip:
Winter Address:
Dates @ Winter address From: To:
E-Mail:
I would like to receive my newsletter e-mail or regular mail
Month and Day of Birth:
I will serve on the hospitality committee for the month of
This task is to coordinate the refreshments for our social hour prior to meeting and to clean up after meeting.
I would be interested in sharing my talents or skills with a demonstration and/or instruction at our meeting about
This could be extended to a workshop on the subject after lunch.
I would be interested in serving on the Board (list position)
I would be interested in serving on an existing committee
Membership fee is: $20.00/year
Make checks payable to: Piecemakers of Elmira
Payment:
Check Number Cash Date:
Received by Marcy Coggins on:
Given to Treasurer: Initials: Date:
Revised: June 1, 2018 Card: