DIXIE QUILT GUILD

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DIXIE QUILT GUILD Membership Application/Renewal New Member__________ Renewal _________ Year ________Name: _____________________________________________________________ Address: ___________________________________________________________ City, State, Zip: ______________________________________________________ Email: _________________________________ (Newsletter will be sent to email address If you require a paper printed copy of the Newsletter there is a $5 printing fee for the year)

Home Phone: ________________________________ Cell Phone: __________________________________ Birth Month/Day: _____________________________

The annual membership year is January 1 through December 31. Dues are $20 for the year and are payable prior to the start of the membership year. Please make checks payable to Dixie Quilt Guild and turn in at the Membership table at the next meeting. You may also mail this form to: Dixie Quilt Guild, P.O. Box 2812, St. George, UT 84770. You may also pay your membership dues on the website Dixiequiltguild.com and click on Membership, Purchase Membership. There is a $2 additional fee for using PayPal.