Conejo Valley Quilters Membership

SELECT AN OPTION

RENEWAL

NEW MEMBER

NAME

Today's Date

Preferred Phone Number

Street Address

City

State/Province/Zip code

Alternate Phone Number

Birthday Month/date of month

Your personal information above will be included on the member roster, distributed periodically only to current CVQ members and is strictly for members’ personal use. A condensed version of the roster - name, phone number and email only - will be maintained in the password accessed "Members Only" section of our website to give members quick access to an up-to-date list. Please indicate whether or not you give us permission to provide your personal information to CVQ members, and if you would like any personal information excluded from future rosters.

Roster Options *

YES, I give permission to share my information with any exclusions listed below

NO I do not want any of my personal information shared.

Information to be excluded from member rosters:

Photography – I understand and agree that from time-to-time photographs may be taken at various Guild activities and images may appear on our website or social media. I understand and grant permission for use images (of my person or my works) as described.

Photo Options *

YES, I grant permission to use photos of my person and my works.

NO, I do not grant permission to use photos of my person or my works.

Please type your signature below:

Please indicate whether you will be mailing a check or paying online.

Mailing a check

Paying online

Please make sure all required fields, with asterisk "*"(new/renewal form, roster and photo permission options, signature, and method of payment) have been entered.

Once you hit "Submit", you will be directed to our "Membership Payment Page."