SDPCG Membership 2021 Application
Thank you for joining the San Diego Polymer Clay Guild. The membership year runs January thru Dec. 31st,.
DUES ARE:
$35 for individuals
$45 for Family and Business

AFTER JULY 1st
$20 for new Individual Members
$25 for new Families and Businesses

We also add 3.49% and $0.49 per transaction for Paypal credit handling fees. See final total at checkout.
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Email *
You do not have to print out this form! After you complete and submit this form you will be sent a confirmation email with payment links. The email will have a copy of the responses you submitted.
MEMBER INFORMATION
Your First Name *
Your Last Name *
Birthday (Month, Date) *
MM
/
DD
Street Address *
City *
State *
Zip Code (or postal code) *
Country (type USA. If another, type in full name ) *
PHONE NUMBERS/WEBSITE
Primary Phone #:     XXX-XXX-XXXX *
Home Phone #:     XXX-XXX-XXXX, SAME or NONE *
Cell Phone #:     XXX-XXX-XXXX, SAME or NONE *
Your Website's URL
Emergency Contact Name *
Emergency Contact Phone #:     XXX-XXX-XXXX *
FAMILY MEMBERSHIPS ONLY
If you are not applying for a Family Membership, skip down to the next section.
Co-Member's Name:
Co-Member's Birthday (Month, Date)
MM
/
DD
Co-Member's Email
Co-Member's Phone (XXX-XXX-XXXX or NONE)
 Relationship to 1st Member
Co-member's Address - Street, City, ZIP (or Same as 1st member)
Additional Co-Member Names (please separate with commas)
OTHER INTERESTS
Which other groups do you belong to?
Other Hobbies & Talents
HELP US and Build Your Confidence and Skills
SDPCG is an all-volunteer organization. We cannot run our programs and events without you. We know that some of you live too far away to attend monthly meetings, but you can still make a contribution.
Share your talents! *
Required
MEMBERSHIP OPTIONS
Annual dues shall be payable each January, prorated for NEW members joining after July 1st.
Membership Type *
Online or Mailed Payments? *
You can either pay online or mail in your payment. We use PayPal and there is a nominal credit handling fee of slightly more than $1. Make checks payable to SDPCG. Mail to: Sandra Chadwick, 4779 Dauer Ave, La Mesa CA 91942
After you complete and submit this form you will be sent a confirmation email with payment links and a copy of your responses.
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