The Embroiderers' Guild of America, Inc., New England Region

Connecticut River Valley Chapter
 

Program Registration Forms
 

CRVC Program Registration Form -- Class with Lynn Payette on June 2nd

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

"Treasure" with Lynn Payette

________ Member's kit fee $60
________ Lunch ($8)

Name:     ________________________________________________________________________
 
Address: ________________________________________________________________________
 
Email address: __________________________________________________________________
 
Phone#: ________________________________________
 

CRVC Program Registration Form
Class starting Lorene Salt's "Frozen Reflections" on October 13th

Mail completed form to:  Linda Berry, 343 Seabury Drive, Bloomfield, CT 06002.  Make check payable to CRVC-EGADeadline for registration is September 1st.

Class starting Lorene Salt's "Frozen Reflections"

________ Member's kit fee $80
________ Lunch ($8)

Name:     ________________________________________________________________________
 
Address: ________________________________________________________________________
 
Email address: __________________________________________________________________
 
Phone#: ________________________________________
 

CRVC Program Registration Form
Class continuing Lorene Salt's "Frozen Reflections" on December 1st

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

Class continuing Lorene Salt's "Frozen Reflections"

________ Lunch ($8)

Name:     ________________________________________________________________________
 
Address: ________________________________________________________________________
 
Email address: __________________________________________________________________
 
Phone#: ________________________________________
 

CRVC Program Registration Form
Class continuing Lorene Salt's "Frozen Reflections" on February 2nd, 2019

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

Class continuing Lorene Salt's "Frozen Reflections"

________ Lunch ($8)

Name:     ________________________________________________________________________
 
Address: ________________________________________________________________________
 
Email address: __________________________________________________________________
 
Phone#: ________________________________________
 

CRVC-EGA Membership

$57. Primary Membership
$15. Plural Membership (NER)
$18. Plural Membership (not NER)

For a membership card, please enclose a SASE.

Amt. Pd. ____________

Check #  ____________

Date Pd. ____________
    (keep as your receipt)

 

CRVC-EGA Membership and Address Change Form

The membership year runs from June 1 to May 31.  If you are joining after
September 1, please contact the membership chairman for prorated dues.

Mail your completed form to:  Suzanne Newton, CRVC-EGA Membership, 14 Madison Lane, West Simsbury, CT 06092.
Make check payable to CRVC-EGA.  Enclose SASE for membership card.

        __ Address Change
        __ CRVC Primary Membership ($57)
        __ Plural Membership, Primary Chapter in New England Region ($15)
        __ Plural Membership, Primary Chapter not in New England Region ($18)

Name:             ____________________________________________________

Address:        ____________________________________________________

City, ST,ZIP  ____________________________________________________

Phone:           _________________ Email:______________________________

Primary Chapter:   ________________________________________________

Membership No.  _______________________   Total Enclosed $___________
 

 
© 2018 -- CRVC-EGA