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American Sewing Guild
Chapter Membership form

Name _______________________________
Address _____________________________
City _____________ State ___ Zip _______
Phone (____)____________ Date ________
FAX (____)_________e-mail____________

__ Chapter dues - $40.00 (New Members)

Chapter nearest you (City, State) ______________________

New member Sponsor
______________________

Sponsor's Chapter
___________________

(Renewal dues - $35 annually)

___ Check enclosed payable to:
"American Sewing Guild"

Return to:   American Sewing Guild
                  9660 Hillcroft, Suite 516
                  Houston, TX 77096
email: info@asg.org

(Please allow 4-6 weeks for processing)

__ Please bill my Mastercard/Visa (circle one)
Number_____________
Expire______________
Signature
___________________