Renew your NAQG membership

NAQG membership dues cover a one year membership. Renewing your NAQG membership each year is easy - simply fill out this form (mark if your information has changed since the previous year) and mail it to NAQG's membership chairperson along with your check or money order payable to NAQG (in US dollars) to: NAQG c/o Rita Anderson, 2422 Torrington Drive, Lake Ridge, Toms River, NJ 08755.

Membership dues are paid annually in U.S. Dollars. Dues for United States members are $25.00, Canada $30.00, and Mexico and abroad $35.00.

Please PRINT NEATLY or TYPE. NOTE: Mark the "Update" box if you are renewing and your contact information has changed since your last member form was submitted

First and Last Name: ______________________________________________________ ( ___ Update)

Mailing Address: __________________________________________________________ ( ___ Update)

_______________________________________________________________

Phone Number: _________________________ ( ___ Update)

Email address: ____________________________ ( ___ Update)

Do you wish to have your phone number listed in the Member Directory? Yes ___No___

Do you wish to have your Email address listed in the Member Directory? Yes ___No___

Would you grant permission to use photos of your work in NAQG publications? Yes ___No___

Do you teach quilling? __________________ Do you demonstrate?__________________

How are we doing? What can we do better? Add additional comments for NAQG:

_____________________________________________________________________________

Renewal Payment Amount $__________________ Check ____ Money Order ____
(Dues for United States members are $25.00, Canada $30.00, and Mexico and abroad $35.00.)