North Suburban NeedleArts Guild
Membership
Since 1968
Visit Our Website: www.needleartsguild.com
NEW RENEWAL (Circle one)

NAME ___________________________________________________________________

ADDRESS _______________________________________________________________

CITY ___________________________________ STATE _______ ZIP ________________

PHONE (w/area code) ________________________________________

E-MAIL ___________________________________________________________________

WEB ADDRESS _______________________________________________

Can the newsletter be e-mailed to you? YES NO (Circle one)

Would you be a workshop hostess for a speaker? YES NO (Circle one)

Would you be able to house a speaker? YES NO (Circle one)

How did you hear about us .... (Circle One)

Friend Brochure Botanic Garden WebSite Other_______________________

Dues are $40.00 for the 2009-2010 year. Please make checks payable to

NSNG

Mail to:

Joan Nasiatka
NSNG
P.O. Box 2424
Northbrook, IL 60065-2424
E-mail: jcnpeanuts@yahoo.com

Paid Date: _____________________ Check #: ____________________