Cyberpointers Needlepoint ANG Chapter

The Internet Chapter of the
American Needlepoint Guild

Membership Form

You must click on the submit button to process your membership. It MUST be sent electronically even when paying by check. You may include a printed copy with your check if you so desire, it can be helpful in matching your payment to the form, but it must still be submitted by clicking on the submit button.

Our chapter dues are $18 per year and our membership year runs from January to December. Dues are pro-rated for partial years according to the following schedule:

Jan 1 - Feb 28/29: $18

Mar 1 - April 30: $15

May 1 - June 30: $12

July 1 - August 31: $9

Sept 1 - Oct 31: $6

Nov & Dec will be included with next year's dues

First Name:

Last Name:

** Email Address: **

** Note: Please use the email address that you will be using to log into Yahoo. If you don't have one yet, please put the one you normally use and USE THAT ONE when you create your Yahoo account. This currently is the only way we have of making sure only legitimate members get the benefits of the chapter. You will be given information changing your email address once your membership is fully processed. **

Just Joining
Renewing Member

Phone number:

Street Address

Street address - line 2

City

State/Province (put 00 if no state)

Postal or ZIP code

Country if not the USA

May we list your name and email in the Membership Roster? Yes
No

ANG membership number (enter "pending" if just joining) (*see note below)

ANG membership type
Life Patron and member of another chapter
Life Patron and Member-at-large (MAL)
Member-at-large (MAL)
Member of another chapter
Just joining ANG now
Rejoining ANG after a lapse
Renewing CyberPointers Membership

Primary Chapter Name:

Would you like to switch your Primary Chapter to CyberPointers? Yes
No

Paying for CyberPointers dues via **
Paying by PayPal
Mailing a check or money order

* Note: If you were a former member of ANG we would like your membership number if at all possible.

** If you choose to do this, the check should be made out to CyberPointers ANG and must be either from a US or Canadian bank and must be in US Funds. Checks from financial institutions outside the US and Canada will be returned.

This form MUST be submitted electronically even when paying by check.

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You must click on the submit button to process your membership. It MUST be sent electronically even when paying by check. You may include a printed copy with your check if you so desire, it can be helpful in matching your payment to the form, but it must still be submitted by clicking on the submit button. Our chapter dues are $18 per year and our membership year runs from January to December. Dues are pro-rated for partial years according to the following schedule: Jan 1 - Feb 28/29: $18 Mar 1 - April 30: $15 May 1 - June 30: $12 July 1 - August 31: $9 Sept 1 - Oct 31: $6 Nov & Dec will be included with next year's dues
First Name:
Last Name:
Email Address:
Note: Please use the email address that you will be using to log into Yahoo. If you don't have one yet, please put the one you normally use and USE THAT ONE when you create your Yahoo account. This currently is the only way we have of making sure only legitimate members get the benefits of the chapter. You will be given information changing your email address once your membership is fully processed.
	Just Joining Renewing Member
Phone number:
Street Address
Street address - line 2
City
State/Province (put 00 if no state)
Postal or ZIP code
Country if not the USA
May we list your name and email in the Membership Roster?	Yes No
ANG membership number (enter "pending" if just joining) (*see note below)
ANG membership type	Life Patron and member of another chapter Life Patron and Member-at-large (MAL) Member-at-large (MAL) Member of another chapter Just joining ANG now Rejoining ANG after a lapse Renewing CyberPointers Membership
Primary Chapter Name:
Would you like to switch your Primary Chapter to CyberPointers?	Yes No
Paying for CyberPointers dues via **	Paying by PayPal Mailing a check or money order
* Note: If you were a former member of ANG we would like your membership number if at all possible. ** If you choose to do this, the check should be made out to CyberPointers ANG and must be either from a US or Canadian bank and must be in US Funds. Checks from financial institutions outside the US and Canada will be returned.
This form MUST be submitted electronically even when paying by check.