A Chartered Chapter of the IOLI

(Please Print!)

Name (First, Last): _____________________________________________________________________

Address: _____________________________________________________________________________

Phone Numbers

Home: (_____) _______________

Work: (_____) _______________

Other: (_____) _______________ Specify: __________________________

Birthday (DD/MM): ____ / ____ (Day and Month Only!)

Email Address: ______________________________________________________

Do you want your Email Address on the WWW page? Yes / No

Which meetings (Saturday afternoon, Tuesday day time, Tuesday night time) do you most often attend and why?

Are you a current member of International Old Lacers, Inc.? Yes / No

Please list any other lacemaking organizations to which you currently belong:

Please list three types of lacemaking you are most interested in, or would like to learn more about: (i.e.: specific bobbin laces or laces of other techniques)

1.

2.

3.

Thanks for taking time to answer all of our questions! All answers are for the use of the DLS to make it a better organization for everyone. No personal information will be posted on the WWW pages without your permission.

You can mail this completed form and your $15 in dues to:

DLS Membership Coordinator
c/o Alissa Barton
P.O. Box 540279
Grand Prairie, TX 75054-0279

All checks or money orders should be made out to "The Dallas Lace Society".