June 2014- May 2015 Membership Form www.cmspcg.com
Full Name (please print): ______________________________________________________________
Street Address: _____________________________________________________________________
City: _______________________________ State: ______________________ Zip:_______________
Home Phone: ____________________________ Cell Phone: ________________________________
Email Address (please make this legible): __________________________________________________
Birthday (month and day only) __________________________________________________________
Membership Directory (Check all that apply) CMSPCG may publish a membership directory for distribution to members only. Please specify what information you want included:
___Name ___Address ___Phone # ___Email ___Do NOT publish my information
Volunteer Information (check all that apply) Please let us know if you would like to help in any of the following areas.
____Conduct a clay demo during a meeting
____Help with Workshops ____Happy Bags ____Pot Luck Lunch _____ Ovens ____teacher gift
____Other: ________________________________________________________________________
Serve on the Executive Board as:
____President ____Vice President ____Treasurer ____Secretary ____Webmaster ____
Membership Information: $20 Yearly make check payable to: CMSPCG
New: ____________ Renewing: _________________
Signature: _________________________________________________________________________