Membership Application Form
Please choose:
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New Member
Renewal
Full Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
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Please include PERSONAL email address only; work email addresses are NOT allowed.
Telephone
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Area Code
Phone Number
Member GSQA (choose one):
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Yes
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GSQA # (if yes)
Guild Affiliations (primary first):
My Favorite Charity Is:
I am interested in participating in the following areas. (Choose as many as apply.)
Board/committee member
Set up/Breakdown
Activities
Other
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Membership Dues Payment - 1 year
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Security Code
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