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Membership Application
Kernersville Arts & Crafts Guild
Membership Application
P. O. Box 222
Kernersville, NC 27285
Please enclose $5.00 non-refundable application fee. Rec’d
Name_________________________Phone - Home (___) ____-____________________
Address_____________________________- Other (___) ____-____________________
________________________________________________________________________
Mailing Address (If different) _______________________________________________
E-mail Address___________________________________________________________
Senior Citizen (60 or over)______Yes ______No
Type or art or craft (Be specific) _____________________________________________
________________________________________________________________________
Other craft organization/s to which I belong:____________________________________
Are you willing to demonstrate your art or craft for our organization? ________________
Are you willing to support this organization in every way possible? _________________
I recognize this is an official application to the Kernersville Arts and Crafts Guild and I will abide by the Constitution and By-laws if accepted for membership. I also state that all items I will exhibit are hand crafted by me. I also understand that I cannot sell items with trademarks or copyrights at any KACG sponsored event. Any false information provided on this application will be grounds for disapproval of application or subsequent dismissal from the guild.
Signature__________________________________Date__________________________
Referred by______________________________________________________________
You will be notified by letter of the date for the next screening.
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Application approved______Denied_______Date______By______
Remit To:
Ricky Eaton
4153 Furman Drive
Winston-Salem, NC 27107 Phone: 336-317-3720 Rec’d_____________ |
