Professional Membership: $70/year <back To complete this form, you will be required to upload a photo of yourself. Please prepare the file before you begin. Photo must be jpg, gif or png, and less than 3 MB. Account Information Already have an account? Log in here Email Address Password Confirm Password Professional Information First Name * Last Name * Address 1 * Address 2 City * State/Province * Postal Code * Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo (Brazzaville) Congo (Kinshasa) Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong S.A.R., China Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao S.A.R., China Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands US Armed Forces Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe * Phone * Website Blog I AM A MEMBER OF GUILD #1 I AM A MEMBER OF GUILD #2 I AM A MEMBER OF GUILD #3 Business Name Professional Services Profile Upload Photo Photo must be jpg, gif or png, and less than 3 MB. CQA/ACC Apprentice Quilt Judge Yes No CQA/ACC Certified Quilt Judge Yes No Certified Quilt Appraiser Yes No Pattern Designer Yes No Lecture/Power Point Presentation Yes No Trunk Show Yes No Hand Quilting Service Yes No Long Arm Quilting Service Yes No Commission Quilts Yes No Teacher Yes No Retailer Yes No Wholesaler Yes No Distributor Yes No Company Representative Yes No Retreat Venue Yes No Consent * I consent to have my name and contact information included on the CQA/ACC Membership List for internal use. Yes No Your membership will expire in one year. If you wish to have it auto-renew, please check this box. By doing so, you agree to an annual pre-payment for one full year of service which will be billed on the date you join. After one year, and annually thereafter, you will be billed a recurring annual membership renewal fee at the then-current annual membership rate, and you accept responsibility for all recurring charges until you cancel your membership. Yes, renew at $70/year. Choose Your Payment Method Pay by Credit Card Pay by Cheque Payment Information We accept Visa and Mastercard. Card Number Expiration Date 01 02 03 04 05 06 07 08 09 10 11 12 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 Security Code (CVC) (what's this?) Processing...
