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Annual Membership Application

(PLEASE PRINT CLEARLY)


Name ______________________________________________________

Address __________________________________________________

City ___________________ State __________ Zip _______

Phone: Home ______________ Work(optional) ______________

Email ____________________________________________________

I am interested in volunteering for / working on the:

_____ annual conference _____ quarterly meetings

_____ teaching _____ newsletter

_____ other ____________________________________________

To join, mail the printed, completed form, with a check for $30.00 (payable to the Great Lakes African American Quilter's Network)
to:


Great Lakes African American Quilter's Network
attn.: Membership
P.O. Box 851381
Westland, Michigan 48185-6481