Phoenix Guild of Puppetry Membership Form

NAME:_______________________
ADDRESS:_____________________
CITY/STATE/ZIP:_______________
PHONE #:______________________
E-MAIL:_______________________

MEMBERSHIP TYPE:
I__ F__ C__ S__

ANNUAL DUES (Sept.-June) :

Individual (I): $15

Family (F): $20

Child (12 & under) (C): $10

Senior (60 & over) (S): $10

Please print a copy of this form, fill it out and mail it (with your dues payment in the form of a check or money order) to:

Claire Radich-- Treasurer, Phoenix Guild of Puppetry, 4638 N. 22nd Avenue, Phoenix, AZ 85015-4031

Make check/m.o. payable to: Phoenix Guild of Puppetry

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