PTQG Membership Form For new members or active membership renewal Check ONLY One(Required) New Member Renewing Member Lifetime Member Returning Member (after absence) Dues must be paid by January 15 in order for your name to be included in the next Roster.This completed form requires payment by credit card To pay by check, use the form here:https://pinetreequiltguild.com/docs/Membership-Form.pdfToday's Date for our Records(Required) MM slash DD slash YYYY Please fill out the form completelyFirst Name:(Required)Last Name(Required)Telephone (for Roster):(Required)Address:(Required)City, State, Zip(Required)Birthday: Month/Day only(Required)Email:(Required)Spouse/Partner: (Optional)Wedding Anniversary: (Optional) Month/Day OnlyAnnual Dues(Required) Dues are $30.00 New members who join Feb-Dec pay a prorated amount based on the month they join. Lifetime Members are not required to pay but MUST complete the form each year.I want Opportunity Quilt Tickets: Enter $0 if you do not want to buy tickets. Members are requested to purchase at least $10.00 worth of tickets. Your ticket stubs can be picked up from our membership table at our Guild meetings.Donation Enter $0 if you do not want to make a donation. Indicate in the field below where your donation should be used. If not designated, your donation will go to the General Fund.Total This is the amount you will be paying via credit card.Where do you want your donation used. i.e. General, Community Service, Scholarship etc.Would you like to be in a Mini Group? Yes No Other If you are in a Group(s), select Other then indicate in field aboveConsent & Release Form(Required) I agree to the terms stated below.Per the terms of our insurance, members of the Guild are not covered in the event of any injury. Therefore, members shall assume all risk of loss, damage, liability, injury cost or expense that may arise or be caused in any way, at any facility where Guild functions are held.You may experience slow response time after clicking "Submit." Please, be sure the transaction did not complete before trying again.Credit Card(Required) Cardholder Name Card Details
