Please renew my membership.

Name: (MRS) (MISS) (MS) (MR)__________________________________________________________________

Business (if applicable) : _______________________________________________________________________

Address:____________________________________________________________________________________

___________________________________________________________________________________________

City: ____________________________________ zip code ___________________country ___________________

Daytime Phone: ________________________ Evening Phone: ____________________

e-mail: _________________________________________________________________

I wish to become a member in the following category

: $35 Student (Photo ID required)     $40 Individual/Family    $65 Contributor    $100 Supporter

I can help on (please check appropriate box/boxes)
Bead Bazaar     Bead Study        Education         Finance     Fundraising        Mailings     Membership        
Newsletter     Outreach     Photography     Publicity     Research        Website     Writer     

I am available on    weekdays     evenings     weekends     on-call

My interest in beads centers in _____________________________________________________________________________

The Society prints a membership directory listing name, address, and phone number.
Would you like to be listed in the next directory?           Yes   No 

PAYMENTS

Your membership contribution is fully tax deductible.  Thank you!

PAY BY MAIL, print out this form and mail with check or credit card details

____ My check is enclosed, payable to BSGW

 ____I prefer to have my membership billed to:  ____Visa         ____MasterCard

     

      Account #  _______________________________          Expires_________________

 

      Signature ____________________________________________________________

print out this form and mail it, along with your check or credit card information, to
The Bead Society of Greater Washington– ATTN: Membership
P.O. Box 42519 Washington, DC 20015