Membership Form
Individual $20.00
Family (immediate) $30.00
Guild—any fiber art guild $50.00
Guild participant—member of guild $10.00
Sponsor—lifetime member $1000.00
Benefactor $250.00
Business or Individual Supporter $100.00
Any gift of $100.00 or more will be acknowledged in our newsletter
_______Total Paid Checks payable to Latimer are tax deductible
Name______________________________Phone________________
Address_________________________________________________
City________________________State_______Zip_______________
Latimer Quilt and Textile Center
2105 Wilson River Loop Rd.
Tillamook, Or. 97141