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

Connecticut River Valley Chapter
 

Program Registration Forms
 

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"

________ I plan to attend
________ 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"

________ I plan to attend
________ 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