TWIN RIVERS QUILTERS' GUILD
APPLICATION
Name: ______________________________________ Spouses Name (if applicable) ______________
Address: ___________________________________________________________________________
City: ___________________________ State: _____________________ Zip ______________
Home #:___________________________   Email: _________________________________________
(Please print clearly as a # or letter can look the same)
Date of Birth:   Month:   _______________ Day:  _______   Date Joined: ______________________
New Member Fee - $30.00 ________ Fee after July 1st - $15.00 _______

A NEW MEMBER MUST BE A MEMBER IN GOOD STANDING FOR THREE MONTHS BEFORE THEY CAN
PARTICIPATE IN THE FOLLOWING GUILD EVENTS: RETREATS & CLASSES BY NATIONAL TEACHERS.

SKILL LEVEL:  Beginners _________ Intermediate _____________ Advanced ___________
Personal Information

Please tell us something about yourself (where you moved from, when you started quilting, have you ever taught a
quilting class, what other hobbies you have, etc.)
__________________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________
Would you be willing to serve on a Board/Committee position for the guild? ___________________
(Check with membership for the board and committee positions)

How did you hear about us: Brochure ______ Quilt Show/store _____ other ___________________
Please return completed membership form & check (made out to Twin Rivers Quilters Guild to:

Twin Rivers Quilters Guild
c/o Diana Rezab
5509 Gondolier Drive
New Bern, NC 28560
If you have any questions or need additional information, please contact Diana Rezab, Membership Chair at
252-636-5919 or  dianarezab@suddenlink.net

*************************************************************************************************************************************************
Guild Information Only

Date Application Received _________ Check # ___________ Amount ____________
Date Membership Packet mailed/hand delivered _________________________