Embroiderers' Guild of America, New England Region
Connecticut River Valley Chapter
 
Plural Membership Form
CRVC-EGA
Plural
Membership

$15. Plural Membership   
                  (NER chapter)
$18. Plural Membership
            (not NER chapter)
$18. LIFE EGA Primary
           ($15 CRVC dues
                 $3 NER dues)
$15. LIFE EGA Plural
                  (NER chapter)
$18. LIFE EGA Plural
            (not NER chapter)

Amt. Pd. ____________
    to CRVC-EGA

Date Pd. ____________
    (keep as your receipt)

CRVC-EGA Plural Membership and LIFE EGA Membership Form

Use this form ONLY if you are a Plural Member of CRVC-EGA (new or renewal)
or a LIFE Member of EGA (with CRVC as primary chapter or as a plural member)

Which membership category applies to you (select and indicate only one)?

  • I belong to another chapter in the New England Region (NER). I'm new to CRVC-EGA or renewing my CRVC EGA membership as a plural member.  Dues = $15.
  • I belong to a different region (not NER). I want to join CRVC-EGA or renew my CRVC-EGA membership as a plural member.  Dues = $18.
  • I'm a LIFE EGA member and want to establish or renew my CRVC-EGA membership with CRVC as my primary chapter.  Dues = $18.
  • I'm a LIFE EGA member and want to establish or renew my CRVC-EGA membership as a plural member -- my primary chapter is in the New England Region.  Dues = $15.
  • I'm a LIFE EGA member and want establish or to renew my CRVC-EGA membership as a plural member -- my primary chapter is in a different region (not NER).
    Dues = $18.

Mail your completed form with a check payable to CRVC-EGA to:
Linda Berry, CRVC-EGA Membership, 343 Seabury Drive, Bloomfield, CT 06002.

Name:             ____________________________________________________

Address:         ____________________________________________________

City, ST, ZIP  ____________________________________________________

Home Phone: _______________________

Cell Phone:    _______________________

Email:            ____________________________________________________

Primary Chapter: _________________________________________________

Membership No. _______________________

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