Desert Quilters of Nevada

MEMBERSHIP FORM 2016

Dues are $25.00/year for 2015-2016 and includes a Subscription to the Quilt Chatter

Renewals are DUE by September 30 for the following Oct. 1 to Sept. 30 membership year and are not prorated.

IF YOU ARE RENEWING AND ALL INFORMATION REMAINS THE SAME, JUST WRITE YOUR NAME AND SAME ON THIS FORM AND RETURN WITH YOUR PAYMENT AND SELF-ADDRESSED, STAMPED ENVELOPE!

RENEWAL ____ NEW MEMBER ____ Are you a member of: NQA _____ AQS _____ MQG____

Date: _________________

Name: _________________________________________________________________________________________________________________

Street: ________________________________________________________________________________________________________________

City: __________________________________State:__________________________________Zip:_____________________________________

Home Phone #:___________________________________________ Cell: ________________________________________________________

E-Mail:________________________________________________________________________________________________________________

Birth Month: ___________________________________________ Day: _________________________________________________________

PLEASE CHECK AREAS YOU WOULD CONSIDER VOLUNTEERING TO SERVE ON DQN COMMITTEE

() Publicity

() Event Planning

() Graphic design

() Website

() Photography or CD production

() Newsletter

() Writing

() Telephone calls

() Historian

() Hospitality

() Membership

() Organizing volunteers

() Teaching

() Programs (outside teachers)

() Quilt Show Committee

() Retreat Committee

() Other ______________________________

PLEASE LET US KNOW IF YOU HAVE ANY OF THESE SKILLS which you are willing to share with our Guild

() Do you know how to use Microsoft Excel or other spreadsheet? Beginner_____Intermed ______ Advanced ______

() Do you know how to use Microsoft Word or other word processor? B _____ I ______ A ______

() Do you know how to use Microsoft Publisher or another publishing software? B ____I ______ A ______

() Do you do know how to use Photoshop Elements, Corel Draw or other graphics program B ____I ___A _____

() Have you done any website design or maintenance? B_____ I______ A ______

() Do you have any experience with bookkeeping? B _____ I ______ A ______

DQN would like to go GREEN—The Chatter is available online 7-10 days before it is sent to you

Would you like to receive a paper copy Y___________ or NO, you’ll read it on the dqn.org website____________

If you do Not wish to receive bulk emails from DQN(Circle’s are exempt from this) check here____________

For renewals, please send a self-addressed stamped envelope with this membership form and payment in order to

receive your new membership card. New members do not need to send a SASE.

Make your $25.00 checks payable to Desert Quilters of Nevada

MAIL TO:

Jeanne Spala, 4458 via Bianca Ave., Las Vegas, NV 89141

Questions? Call Jeanne 702-492-0840 or visit www.dqnv.org

Cash_____ Check#____ Date Rec’d _____ Date Processed_________