Yes!  I would like to join the NeedleChasers of Chevy Chase!

NAME ____________________________________________________________________

ADDRESS _________________________________________________________________

___________________________________________________________________________

CITY, STATE, AND ZIP _____________________________________________________

PHONE ___________________________________________________________________

E-MAIL ADDRESS __________________________________________________________

BIRTHDAY ________________________________________________________________

___  I'm proud to be over 80!  Thanks for waiving the membership fee.

To join the NeedleChasers, just print out this form.  Then fill it out and mail it, together with a check for $25 ($10 for members who join in March or thereafter) payable to NeedleChasers of Chevy Chase, to:

Ms. Linda Fasules
2718 Stephenson Lane NW
Washington, DC  20015

Please write "NEEDLECHASERS MEMBERSHIP" on your envelope.