SDPCG Membership Application
Thank you for joining the San Diego Polymer Clay Guild. The membership year runs January to January.
DUES ARE:
$25 for individuals
$35 for Family and Business
$18 for New Members who join our guild after June 30

After you complete and submit this form you will be sent a confirmation email with payment links. The information on this form will also be sent to the Guild Membership Chair, the Treasurer and the Web Mistress.

Email address *
MEMBER INFORMATION
Your First Name *
Your answer
Your Last Name *
Your answer
Birthday (Month, Date) *
MM
/
DD
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code (or postal code) *
Your answer
Country (type USA. If another, type in full name ) *
Your answer
PHONE NUMBERS/WEBSITE
Primary Phone #: XXX-XXX-XXXX *
Your answer
Home Phone #: XXX-XXX-XXXX or SAME *
Your answer
Work Phone #: XXX-XXX-XXXX or NONE *
Your answer
Work Email (type NONE if you don't have one or do not wish to be contacted there) *
Your answer
Your Website's URL
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone #: XXX-XXX-XXXX *
Your answer
FAMILY MEMBERSHIPS ONLY
If you are not applying for a Family Membership, skip down to the next section.
Co-Member's Name:
Your answer
Co-Member's Birthday (Month, Date)
MM
/
DD
Co-Member's Email
Your answer
Co-Member's Home Phone (XXX-XXX-XXXX or NONE)
Your answer
Co-Member's Cell Phone (XXX-XXX-XXXX or NONE)
Your answer
Relationship to 1st Member
Your answer
OTHER
Which other groups do you belong to?
Your answer
Other Hobbies & Talents
Your answer
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. Pay by February 15th or you will lose your priority Sandy Camp Registration and discount, first chance to sign up for classes, and other member benefits.

After you complete and submit this form you will be sent a confirmation email with payment links.

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: Nadia Valiaeva, 1550 Diamond Street, San Diego, CA 92109
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