Registration Form

Please print the following form and fax or mail to:
The Craft Guild of Dallas
14325 Proton Road
Dallas, Texas 75244-3512
Fax Number 972-490-0304
Please Mark your Art Preference: BOOKBINDING, CERAMICS, GLASS, or JEWELRY

CLASS and MEMBERSHIP REGISTRATION FORM
Name:				HOME PHONE:
Address:				WORK PHONE:
City:		State:	Zip:		Email:
Membership is required for class registration.
CLASS #	DESCRIPTION:					$
CLASS #	DESCRIPTION:					$
CLASS #	DESCRIPTION:					$
CLASS #	DESCRIPTION:					$
CLASS #	DESCRIPTION:					$
IF YOU ARE UNDER 18 PLEASE COMPLETE THE FOLLOWING		AGE:	GRADE LEVEL:	PARENT NAME:
TO BECOME A MEMBER PLEASE COMPLETE THE FOLLOWING:
STUDENT:*	$25	Sponsor	$250	BENEFACTOR:		$5000
INDIVIDUAL:	$50	PATRON:	$1000
FAMILY:**	$100	MENTOR:	$2500	TOTAL:		$
Student: Youth 4-18, and adults registered in full-time accredited institutions *Family: Members residing at one address
To have your MasterCard, Visa, American Express, or Discover charged, please complete the following:
NAME EXACTLY AS ON CREDIT CARD:			CREDIT CARD NUMBER:
EXPIRATION DATE:		SIGNATURE: