membership Form

The SOCG. membership year runs January through December. Our annual dues are $20. If you join after June you may pay a reduced fee of $10 for the rest of your first year.

Personal Information:
First Name ____________________________________________________
Last Name ____________________________________________________
Date of Birth (Month & Day) _____________________________________
Street Address _________________________________________________
Address (cont.) _________________________________________________
City __________________________________________________________
State/Province __________________________________________________
Zip/Postal Code _________________________________________________
Home Phone ____________________________________________________
E-mail _________________________________________________________
Are you a member of the Crochet Guild of America? ___________
If yes, please indicate your ID # ______________________
How did you find the SOCG, and why are you joining?

Please print this form, fill it out and mail with your membership fee to:

Southwest Ohio Crochet Guild
6690 Old Stable Rd
Loveland, OH 45140

Thank You!