Bus Trip Registration Form

Bus Trip Registration

Join us for a fun-filled trip to the International Quilt Museum with DMAQG friends!

Your Name(Required)

First Last

Your Address

Street Address Address Line 2 City State ZIP Code

Your Email Address(Required)

Your Phone(Required)

Emergency Contact Name(Required)

First Last

Emergency Contact Phone(Required)

How will you be paying?

PayPal (button available on the next screen)

Mailing a check to Des Moines Area Quilters Guild PO Box 71709 Clive, IA 50325