Application for Membership - New and Current Members Application for MembershipPlease select the appropriate box* New Member New Group Member New Junior Member Current Member Current Group Member Current Junior MemberNew Members, New Group Members, New Junior MembersName*FirstLast*LastAddress*AddressAddressAddressCityCityStateStatePost CodePost CodePhoneMobileEmail*Membership NumberI belong to the following Quilting GroupCurrent Members, Current Group Members, Current Junior MembersName*FirstLast*LastAddress*AddressAddressAddressCityCityStateStatePost CodePost CodePhoneMobileEmail*Membership NumberI belong to the following Quilting GroupPaymentJoining and Subscription Costs* Joining Fee $10 Annual Subscription Adult $40 Annual Subscription Junior $20 Annual Subscription Group $40Payment Amount $Payment MethodI am paying by * Cheque Money Order Cash (payment in person only) Direct Deposit to TQG CBA account No 067600 10733963 – Deposit Reference: Please use MEM + your last nameRaffle TicketsI am willing to take a book of raffle tickets for Guild raffles* Yes NoSignatureI agree to abide by the Rules of the Tasmanian Quilting Guild Inc* YesSignature*ClearDateOffice Use OnlyReceipt Number Amount Member Card BadgeWelcome LetterMembership ListMailing LabelsEmail AddressIf you are human, leave this field blank.Submit