Renew or Signup for a CQA/ACC Membership

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United states Membership

Bolded field names are required. Other fields should only be filled in if this information has changed.

Member Status

Member Number

Only fill this in if you are renewing your membership


Membership Length

First Name

Last Name

Address

City

Province / State

Country

Postal Code

Phone
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Email

Website
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Affiliated Guild #1

Affiliated Guild #2

Affiliated Guild #3

Affiliated Guild (Other)

Disclosure Statement
I hereby consent to having my name and contact information included on the CQA/ACC Membership List that is distributed to CQA/ACC members upon request.

Please do not fill in if you see this


Problems or Questions? contact jackie@canadianquilter.com



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For a CQA/ACC gift membership:

  1. fill in the the appropriate membership form above

  2. then - for a "gift card" provide your contact details to Jackie Philpott at jackie@canadianquilter.com

    or call toll free 1-877-672-8777
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