Art Alliance for Contemporary Glass

Application for Membership

To apply, print this form, fill it in, and send it (with check to Art Alliance for Contemporary Glass) to:

Linda Greene, AACG, 11700 Preston Road #660-327, Dallas TX 75230-2718

Name: ________________________________________________________________

Street Address:  _________________________________________________________

City:                                                  State or Province:                       Postal Code: _____

Home Phone:                                                   Home Fax: 

Office Phone:                                                    Office Fax:  ________________________

E-Mail: ___________________________

Member $65 ___         Collector $100 ___      Friend $250 ___        Sponsor $500 ___      Founder $1000 ___      Gallery $100 ____

 

How did you learn about the Art Alliance for Contemporary Glass?

 

 

Members outside the United States, please add $15 for extra mailing costs.

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