Membership form

To join CQQ, fill in, print out and mail the form
 
 
Name:
Address:
 
No
Street
 Apt  
City:
Province:
Postal Code:
 -
Telephone:
 - -
eMail:
Name of Guild:
MEMBERSHIP FEE:

15 $ per year
(Sept. 1st , 2003 – August 31st, 2004)

Please make your cheque payable to:

Courtepointe Québec Quilts

Please mail your payment and registration
form to the following address:

Gaétane Grenier
3179 East, Jarry st.
Montreal (Quebec)
H1Z 2E1

Click to clear the fields.
 Click to print after you filled out the form
 
 
X   Close Window