BUSY BEE MEMBERSHIP REGISTRATION 2010-2011

To be included in the roster accurately, EVERYONE (Full/Senior & Junior) must completely fill out the membership form. Dues are payable June 1st each year & are delinquent if postmarked after August 15 of the same year. (See Bylaws article III-D) ATTENTION: An additional $5.00 fee will apply to all returning member paying dues after August 15, 2010. Please make check payable to “Busy Bee Quilters”. You may bring the completed form and dues to a meeting or mail to:

BUSY BEE QUILTERS

MEMBERSHIP CHAIRPERSON

PO BOX 26

SNOHOMISH, WA.  98291

PLEASE PRINT LEGIBLY (Please fill out data as you wish it to appear in Member handbook)

Name:___________________________________________________________________________________________

Name preferred on name badge:_________________________________________________________________

Address:_________________________________________________________________________________________

Apt:_________ City, State, Zip+4 digits:___________________________________________________________

Mailing Address (if different)____________________________________________________________________

Date Joined Month/Year:_____________________ Birth Month/Day_______________________________

Phone: (home) _______ _______________________ (work) _______ ______________________________

(cell) ______ ________________ Satellite group(s)___________________________________________________

E-mail:__________________________________________________________________________________________

______ Check here to receive your newsletter via US Mail (default is by E-mail)

Please check one: RENEWAL______ NEW MEMBER______

Type of Membership (please check one):

______ Full / Senior Membership …………………………...$25.00 ($30 for members renewing after 8/15/2010

______ Junior Membership (under 18)………..........$10.00 ($15 for members renewing after 8/15/10

Any member joining after August 19^th  will not be published in the roster/handbook.

Names of new members will be published in the monthly newsletter so everyone can update their handbooks.

Date Paid________ Cash________ Check #________ Received by:____________________________________________

Date Received:__________ Notes:_ BZB Website _______________________________________________________________