Please completely fill out
the following form (lines beginning with bold words are required to
be filled in) and then send it with a check made out to
Nutmeg Spinners Guild to
Mary-Alice McCarthy
791 Flanders Rd
Coventry CT 06238
Name
_________________________________________________________________
Address
_________________________________________________________________
Address 2
_________________________________________________________________
Town
_________________________________________________________________
State
_________________ Zip
code________________________
Home Phone
__________________________________________
Other phone (optional)__________________________________
E-Mail
__________________________________________________________________
Shop Name
__________________________________________________________________
Web Site
__________________________________________________________________
Membership Level:
Individual ($20.00)_______ Family
(25.00) ________
Newsletter Only
($5)______
Newsletter Format
Paper
_______
Read on Web site
_______
Directory Format
Paper
________
From Web site
________
Dues payable June 1
for membership from Aug 1– July31.