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



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           








_____________________________________________     ___________________________________

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:


The Bead Museum
400 Seventh Street Northwest
Washington, DC 20004


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

They are fully tax deductible.


Thank You for Joining!