2020 Seattle MQG Membership Form
Welcome! We're glad to have you join us!

Just a few questions ...

** Please note: Seattle MQG publishes a directory that our members can use to get in touch with each other. We strive to keep it confidential but cannot provide a guarantee. In the questions below, you'll see which information is included. At the end of the form, you'll have the option to have your information included in the directory, or to opt out.
First Name *
(To be included in directory.)
Your answer
Last Name *
(To be included in directory.)
Your answer
Are you a new member, renewing member, an MQG individual, or a member of another MQG? *
Address Line 1 *
(Not included in directory.)
Your answer
Address Line 2
(Not included in directory.)
Your answer
City *
(To be included in directory.)
Your answer
State *
(To be included in directory.)
Your answer
Zip Code *
(Not included in directory.)
Your answer
E-Mail Address - Note: This will be forwarded to the national MQG and will be the address you use when you log in to their website. *
(To be included in the directory.)
Your answer
Home or Mobile Phone Number, including Area Code *
(To be included in the directory.)
Your answer
Emergency Contact Person *
(Not included in directory.)
Your answer
Emergency Contact Phone Number *
(Not included in directory.)
Your answer
Blog URL -Optional
(Not included in directory; see next question for inclusion in the Blog Roll we post on our website.)
Your answer
May we add your blog to our member Blog Roll?
Facebook Name -Optional
(To be included in the directory.)
Your answer
Instagram Name -Optional
(To be included in the directory.)
Your answer
I agree to have my name, city, state, phone number, email, Facebook and Instagram information included in the membership directory. *
If you chose No, your information will not be included in the directory, but will still be accessible by Seattle MQG Board members.
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