Bead Society of Greater Washington

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Please print and complete this form, then mail it to the address below.

 

MEMBERSHIP APPLICATION

The Bead Society of Greater Washington

and The Bead Museum of Washington, DC

 

¨  Yes! I wish to join the BSGW / BMDC                  ¨  Please renew my membership.

                                                            

____________________________________________________________   Mrs.   Miss   Ms.   Mr.

NAME                                                                                                                                              PLEASE CIRCLE           

                       

__________________________________________________________________________________

ADDRESS

 

__________________________________________________________________________________

ADDRESS

 

_____________________________________________     ___________________________________

CITY                                                                  STATE / COUNTRY                                       ZIP CODE

 

__________________________________________________________________________________

PHONE (DAY)                                                                  PHONE (EVENING)

 

__________________________________________________________________________________

E-MAIL                                                                           FAX 

 

__________________________________________________________________________________

FAMILY MEMBERS I wish to include in my membership

 

I wish to become a member in the following category:

$30 Individual/Family     □  $60 Contributor □  $100 Supporter
□  $200 Sponsor □  $500 Patron □  $1000+ Benefactor

 

¨      My check is enclosed, payable to BSGW.

¨      I prefer to have my membership billed to:   ¨ Visa          ¨  MasterCard

     

      Account #  _______________________________          Expires_________________

 

      Signature ____________________________________________________________

 

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

 

Please mail completed form to:

BSGW

PO Box 70036

Chevy Chase, MD 20813-0036

 

Your membership dues support the Society’s mission of expanding knowledge about beads.

They are fully tax deductible.

 

Thank You for Joining!

 

 

 

 

 

 

 

 

 

 

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