Membership Payment - Pine Tree Quilt Guild of Nevada County

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.pdf

Today's Date for our Records(Required)

Please fill out the form completely

First Name:(Required)

Last Name(Required)

Phone(Required)

Address:(Required)

City, State, Zip(Required)

Birthday: Month/Day only(Required)

Email(Required)

Spouse/Partner: (Optional)

Annual 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

Other

If you are in a Group(s), select Other then indicate in field above

We cannot accept American Express. NOTE: 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