Membership Application
 
To join, complete the form below and mail to:
Kentucky Heritage Quilt Society
P.O. Box 23392
Lexington, KY 40523-3392
 
INDIVIDUAL MEMBERSHIP
 
Name:
Address:
City: State: Zip:
County: Phone:
Email:
 
I am a new member
 
   
JOIN
KHQS Membership (annual dues) $20.00
QAK* (Quilt Artists of Kentucky) dues enclosed (annual dues)  $5.00
Kentucky Heritage Appliqué Society * dues enclosed (annual dues) $5.00
     
     
  Total:  
* You must be a member of KHQS to join
 
GUILD MEMBERSHIP
 
If you are a Quilt Guild and would like to join KHQS, please fill out the following information
 
Guild Name:
Contact Person:
Contact Person's Phone:
Address:
City: State: Zip:
County:
Email:
 
   
JOIN
 
KHQS Membership (annual dues) $15.00
 
 
  TOTAL
$15.00
 
 
 
 
Please send this Application to the address listed above, do not send to Retreat Administrators.