NCEG Membership Form

Please review the information to be correct and then either print to send, email, or cancel to return and make changes.

MemberInformation
Name:     
Address:   
             ,
Phone:    home work cell
email:   
Website:   

Purpose:    membership
Options were the following:
_ Join as new member     _ Renew membership
_ Update current information

Enameling Interests/Involvement:   
Teaches:_  
Comments:_   
Options were the following:
_ Enamelist      _ Silversmith      _ Jeweler     
_ Artist      _ Exhibit in galleries      _ Craft fairs
_ Collector      _ Supporter      _ Business      _ Organization     
Memberships:
_ Enamelist Society      _ SNAG      _ Other     

Membership Type/Dues:   
Options were the following:
_Individual and family / $25     _Student / $12.50     _
_After June / $12.50

Membership Privacy   
Printed Directory:   
Options were the following:
_ Name      _ email      _ Website      _ Phone      _ Mail

Website Directory:   
Options were the following:
_ Name      _ email      _ Website      _ Phone      _ Mail