Change Membership Information Please enable JavaScript in your browser to complete this form.Today's Date:Name *FirstLastEmail *EmailConfirm EmailPlease select information that has changed:Email - New email is indicated aboveMailing AddressTelephoneI have changed or added an alternate address.I would like to be listed in another Region.PatchwordsQuilt Wyoming BrochureOther - Explain in Comments Below address New be Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeNew Phone *New alternate address and months you will be using this address: *Region I would like to be listed: *NorthwestNortheastCentralSouthwestSoutheastOut of StatePatchwords NewsletterI will view onlineSend a mailed copyQuilt Wyoming 2025 BrochureI will view onlineSend a mailed copyComments/Special Instructions:Submit