memberlogo                   2010 Renewal Form

Name
Is your name, address, and e-mail correct on the membership list?

Yes              No
If no, what changes need to be made?

Please circle the committee(s) on which you would be willing to serve

Comfort Quilts   Quilt In A Box    Block Of The Month    Retreat    Trips 
Library  Quilt Show     Education   Christmas Party   School House Day     Christmas in July
Would you be willing to lead or co-lead a class, workshop, or demonstration?

Yes              No
If yes, do you have an idea for a presentation?

Do you have any suggestions for topics, speakers, or workshops for Brunswick Quilters to present this year?


I understand that Brunswick Quilters in not responsible for any injury or loss or damage to property incurred while participating in activities sponsored by Brunswick Quilters.

Signature.______________________________Date______

Please submit this form and your annual $24 dues at a meeting or mail to:
Brunswick Quilters, PO Box 1074, Shallotte, NC 28459