Membership Type

New Member

Renewal

Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone

(###)

###

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Home Phone

(###)

###

####

Work Phone

(###)

###

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Membership Directory Listing *

The Guild updates its Membership Directory several times a year for members' personal use only. Please select below the information you would like to include:

Email

Street Address

City, State, Zip

Cell Phone

Home Phone

Work Phone

Please publish all of the above information in my membership listing