TRENHOLM ARTISTS GUILD

2011-12 Membership Form

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Information may be used in the TAG Directory unless you note otherwise.

Name:______________________________________________ Date:_______________

Street Address:_______________________________________________Apt. #_______

City: __________________ ZIP: ___________ Home Phone # _____________________

Work Phone #_______________________  Cell Phone #__________________________

Email Address: ___________________________________________________________

Website Address:__________________________________________________________

Medium(s) in which you work: _______________________________________________

Any exceptions, notes or comments:_____________________________________________

Select all of the following options that apply:

I am willing to serve on a committee or on the board
New member:           $20.00 (any time in the year)

Renewing member     $20.00 (due in September)

Renewing member:    $25.00 (after December 31)

Webpage fee:            $10.00 (new or renewing)

Link to website fee:    $5.00 (new or renewing)
Send TAG Directory via US Mail (optional) $2.50  
      NOTE:  TAG Directory is available on TAG's website for no charge.

 

TOTAL PAID: ___________ SIGNATURE: ______________________________________________

 

MAIL THIS FORM AND YOUR CHECK TO:

 

TAG
PO BOX 6793
Columbia, SC 29260-6793