Membership form

Revised NYCCG Membership Form, March 27, 2009

 

New York CityCrochet Guild [NYCCG]

Membership Form

P. O. Box4228

Grand Central Station

New York, NY10163

 

Name ____________________________________________________________________________________

Home Address:

_______________________________________________________________________________

_______________________________________________________________________________

Work Address:

_______________________________________________________________________________

_______________________________________________________________________________

Phone: Home: (___)____________________________ Work:(_____)____________________

Cell: (_____)_________________________________

Email: Home: __________________________________ Work: ________________________________

Send newsletter via: /___/ snail mail at home, /___/ email:

__________________________________

Suggestions for meetings, special workshops, trips, etc.

____________________________________________________________________________________________________________________________________________

 

How can you help the Guild /____/ e-mail answering, /___/ publicity, /____/ fundraising events

/__/ other (please specify) _________________________________________________________

 

Membership Fee: $_____ paid on ____/____/____ by Cash: $_______ / Check # _______ or Money

Order #__________________________ to ________________________________(for the NYCCG)

 

(Dues are $25 for one year or $45 for two years.  Please make checks and money orders payable to New York City Crochet Guild, Inc.; applications may be mailed to the Guild at the above address)

 

First (paid) meeting: ____/____/____ (___/___)

NYCCG #: _______ expiration date: ____/____/____