CLAY GUILD OF THE CASCADES

Membership Application

(please print clearly)

Please print clearly, especially your email address!!

Name(s)________________________________________________

Street Address___________________________________________

City___________________________________________________

State __________________________________________________

Zip ____________________________________________________

Home phone ____________________________________________
                                                                  
Studio/fax/other phone _____________________________________

email __________________________________________________

Website ________________________________________________


$ _________ Regular Membership $20

$ _________ Donation to Clay in Education

$ _________ Total enclosed



Check one: ___renewal or ___new member

We prefer to use the internet to correspond. If you absolutely need your info to come to you via U S post Office please check this box, otherwise we will contact you via your email account. ____


Thank you! Please make check payable to Clay Guild of the Cascades.  Mail to:

Clay Guild of the Cascades
P.O. Box 172
Bend, OR 97709