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HVAG Membership Application

 

Print out the application and send to

 

HVAG, PO Box 2196,  Poughkeepsie, NY   12601

 

Date:     _____________________

 

Artisian’s Name: ______________________________________

 

Partners Name:    ______________________________________

 

Address:              _______________________________________

 

City:                      ________________________________________   State:  ____      Zip:  ________

 

Phone:  __________________________________

 

Email:  ___________________________________

 

Website: _________________________________

 

Type of Work: ____________________________

 

Check amount   $30 ____  (individual) ……. $40 ____  (Partnership)  (both members vote & have benefits, receive 1 newsletter

 

Referred by:  ____________________________________

 

10% discount to other Guild Members…..  Yes ____………………  No ____

                                                                      

Electronic Newsletter :   Yes ____………………  No ____

 

 

 

Make check payable to   HVAG with “membership” in memo section of check