Membership
Membership Application
To view and print a PDF version of this form, click here.
Membership Term: July 1st through June 30th
For new members ONLY, the dues are prorated.
When joining:
Between July and September they are $48
Between October and December: $36
Between January and March: $24
Between April and June: $12.
All dues expire June 30th.
After the first full or partial year, dues will be for the full amount, no matter when renewed.
Annual Membership Fees: Family $72, Individual $48, Full-time students $24
Name(s):_______________________________________
Studio or Business Name: ___________________________
Street Address: ___________________________________ Apt#: _________
City: _______________________
State/Province: ___________ Country: ________ Postal Code: ____________
Email: _______________________________
Website: _______________________________
Phone: ________________________ Fax: ______________________
Please make your check or money order payable to: American Glass Guild.
Mail your check and this form to:
American Glass Guild
c/o Janet Lipstreu, Treasurer
Whitney Stained Glass
Suite 500
2530 Superior Ave.
Cleveland, Ohio 44114
fax: 216-348-1116
Or, to pay by credit card (Master Card or Visa ONLY)
Please fill in the information below and fax to 248.887.2165
Credit card number:_________________________ Exp. date:__________
Name as it appears on card:___________________________________
Security code (three digit number on back of card):________________
Billing address for credit card: |
_______________________________________ |
_______________________________________ |
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_______________________________________ |
Please circle amount to be charged: Family: $72 Individual: $48 Student: $24
Your
signature on this application is authorization for the American Glass
Guild (herein AGG) to do the following: 1. send you emails regarding
issues or events that are sponsored, supported or endorsed by the AGG;
2. add your name to our list of members on our website.
If you DO NOT want to receive emails from the AGG, initial here _______
If you DO NOT want your name on the AGG website, initial here _______
Further, by signing below, you agree to support the mission of the AGG, its rules and code of ethics.
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Signature |
Date |
How did you find out about AGG?