JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
DQN Membership 2019-20
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Year
*
The 2020 year will be valid from October 1, 2019 to September 30, 2020.
2020
Last Name
*
This will be the name that the directory will be sorted by.
Your answer
First Name
*
Provide the names you wish to be published in the directory.
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Please use the two letter abbreviation.
Your answer
Zip Code
*
Your answer
Home Phone
Please format as nnn-nnn-nnnn
Your answer
Cell Phone
Please format as nnn-nnn-nnnn
Your answer
Email
*
Your answer
Birth Month
*
Choose
1
2
3
4
5
6
7
8
9
10
11
12
Birthday
*
Choose
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Youth Members
If you are 18 or under, your membership is free. Please enter the name of the DQN Member sponsoring you to qualify.
Your answer
Email
*
Do you want to receive occasional emails from the DQN President? Emails are sent sparingly with important news for members, not for commercial purposes.
Yes
No
Membership
*
Please indicate if you are a new member or renewing your membership.
New Member
Renewal
Opportunities to Serve
Please indicate the areas that you might be interested in volunteering to help DQN. We use this information when a volunteer vacancy occurs or a new need arises. If you are eager to start volunteering right away, please also contact Mary Jane Eichholz at
dqnpresident@gmail.com
or 702-274-7004.
Publicity
Organizing volunteers
Historian
Quilt Show Committee
CD Production
Nominations
Website
Social Media
Telephone Calls
Teaching
Programs (outside speakers)
Membership
Retreat Committee
Newsletter
Challenge
Hospitality
Photography
Carpool (will drive)
Other:
Talents in my "tool box"
Do you have skills in any of the following areas that are helpful for our volunteers and committees? You do not need to be an expert, just enough to get started and an open mind.
Photoshop Elements or other graphics program
Excel or other spreadsheets
Word or other word processors
Publisher or other publishing software
Website design or maintenance
Bookkeeping or accounting
Embroidery Software
EQ8
Other:
Payment
*
Please go to the DQN Store to pay your membership dues online. Please note that if you are 18 or younger, or 90 or older, your membership is complimentary
Okay, I will pay at the DQN Store
Youth Member (18 or younger)
Senior Member (90 or older)
Past President
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
