Needlecraft Corner

"My Favorite Designer"
Auto Program
Membership Form

Please print and mail the completed form to:

Needlecraft Corner
Attn: "My Favorite Designer" Program
7905-E Harford Road
Baltimore, Maryland 21234

Shipping Information:

Name: _____________________________
Address: _____________________________
City: _____________________________
State: _____________________________ Zip Code: ______________________
Day Phone: ( _____ ) _____________________ Night Phone: ( ____ ) _______________
E-Mail: _____________________________

Credit Card Information:

Credit Card Type (circle one): Mastercard Visa
Credit Card Number: ____________________________
Expiration Date: ___________
Signature: ____________________________

Choose one or more of the designers listed below to be included in the automatic program by placing a mark in the box next to the designer's name. If your favorite designer is not listed, feel free to add it in the space provided:

  Alma Lynne   Fanci That   Pegasus/Marty Bell
  Beatrix Potter   Imaginating/Diane Arthur   Prairie Schooler
  Bent Creek   Jeanette Crews - Omni Books   Raspberry Patch
  Black Swan   Jeanette Crews - One Nighters   Shepherd's Bush - Books
  Butternut Road   Just Nan   Shepherd's Bush - Kits
  Cross Eyed Cricket   Lavendar & Lace   Stoney Creek
  Cross My Heart   Lizzie Kate   Sue Hillis Designs
  Crossed Wing   LS Designs   Teresa Wentzler
  Cross-N-Patch (Emie Bishop)   Mill Hill - Books   Told in a Garden
  Designs by Gloria & Pat - Cherished Teddies   Mirabilia   Twisted Threads
  Designs by Gloria & Pat - Precious Moments   Nordic Needle Hardanger Books   Ursula Michaels Designs
  Diane Graebner   Paula Vaughn   Vermillion Stitchery
  _________________   _________________   Victoria Sampler
  _________________   _________________   _________________

Authorization:

I hereby authorize Needlecraft Corner to automatically send me any new releases by the designers I have checked off above. I understand that unless I cancel my membership in the program by contacting Needlecraft Corner, I will automatically be sent all new charts and leaflets which cannot be returned unless they were sent in error by Needlecraft Corner. My credit card will automatically be charged upon the mailing of the charts and leaflets. I may cancel my membership in the program at any time by contacting Needlecraft Corner.

Signature: ____________________________

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