NWPCG Membership Form

To join the NWPCG, please print out and mail this form with your check or money order (made out to "NWPCG") to the following address:

NWPCG Membership
PO Box 3732
Seattle, WA 98124-3732

New/Renew (check one): ____ NEW Membership ____ RENEWAL Membership

Membership Category (check one): ___Individual $25 ___Family (one household) $35 ___Student/Senior (65 & over) $15

Name:	______________________________________________________
Address:	______________________________________________________
City:	___________________	State:	______	ZIP Code:	______________
Country (if not USA):	__________________________________________
Day Phone:	___________________	Eve. Phone:	___________________
Fax Number:	___________________	Email:	___________________________
Web Site (if you would like us to link to your page from the NWPCG web site):		______________________________________

Membership Directory

Please indicate your preference for the semiannual membership roster sent to all members (addresses, phone numbers and email addresses are never released outside our membership):

___ Please do not list
me in the directory

List only the following:

___ mailing address ___ e-mail address	___ day phone ___ evening phone	___ fax number ___ web site
___ all of the above

Volunteer Opportunities
Check the options below, and we will contact you with information about volunteering. Checking these options for information will not commit you to anything.
Guild Operations ___ Newsletter mailing committee (help fold/stuff/stamp) ___ Newsletter reporter (we always need contributors) ___ Community outreach (help with demonstrations, etc.) ___ Brochure distribution (keep places near you stocked) ___ Whatever needs doing	Ravensdale Planning (for the next Ravensdale) ___ I want to help plan this event - contact me to find out where I can help ___ I want to help out during the event itself - contact me closer to the event

NWPCG use only:

Paid date: _____________ Check #: _______________ Amount: _______________

Revised