PGHR Membership Form

Name*

First NameLast Name

Address*

Street Address

CityProvince

Postal Code

Phone Number*

Email*

Please select Membership type (HST included in price)*

Regular $23Senior (65+) $12Student Full Time $12

Payment Options

Credit Card:

If you select credit card in payment type a drop down menu appears asking to select membership type and provide credit card info.

E-transfer:

Send to: membership@hamiltonpotters.ca

Mail cheque to:

Potters' Guild of Hamilton Box 63068 102 Plaza Drive Dundas ON L9H 6Y3 Make cheque payable to: Potters' Guild of Hamilton and Region Inc.

Please select a Payment type*

Credit cardE-TransferCheque

My Products

Regular$23.00CAD

Senior (65+)$12.00CAD

Student Full Time$12.00CAD

test$1.00CAD

Quantity

Total $0.00CAD

The Guild published membership list will have your name and either/or both phone and email.

Do you want your contact information shared on the Guild's published Membership List?*

YesNo

Which information do you want to share?*

PhoneEmailBoth

Do you want to provide social media links to our website Member Links page ?*

Yes,I'll provide linksNo,thanks

Website

Complete your address

Instagram

Add handle without @

Facebook

Add handle without @

Thank you for joining The Potters' Guild of Hamilton and Region.

You will receive an email confirmation of your membership.

Membership card and payment receipt will be mailed.