Date: __________________

NAME: ___________________________________

ADDRESS: ________________________________

__________________________________________

PHONE: (_____)______________________

NEEDLEWORK INTEREST(S) (Please underline or circle)

Crochet Clothing Construction Color/Design Counted Thread Dolls/Teddy Bears French Hand Sewing History Knitting other: __________

Lace, Needleweaving Miniatures Macrame Machine Knitting Machine Stitchery Needlepoint Quilting Rug Braiding .

Smocking Soft Sculpture Silk and Metal Silk Ribbon Surface Stitchery Stumpwork Weaving Teaching .

Please write your check for $20.00 for one year's dues payable to
SOUTH HILLS TEXTILE ARTS GUILD.

Send this application and your check to:

SHTAG Treasurer
P.O. Box 10472
Pittsburgh, PA 15234