Membership Form

Baltimore Appliqué Society Home

Membership Form

Name:

Address:

Phone:

E-mail address:

May we publish the above information in the BAS directory? Yes No

May we publish any pictures of quilts on the BAS website? Yes No

Is this membership: New Renewal

The membership period runs from Sept. 1 through Aug. 31.

Dues: Full Year $20 ($25 foreign)

Prorated: Feb. 1 to May 31 $10 ($12.50 foreign)

Checks must be in US funds, made payable to BAS.
Please mail this completed form with your payment to:

BAS Membership

P.O. Box 2457

Ellicott City, MD 21041-2457

May we publish the above information in the BAS directory?	Yes	No

May we publish any pictures of quilts on the BAS website?	Yes	No

Is this membership:	New	Renewal




The membership period runs from Sept. 1 through Aug. 31.
Dues: Full Year	$20	($25 foreign)
Prorated: Feb. 1 to May 31	$10	($12.50 foreign)