Provisional Membership Application 2026-2027

Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone with area code
Format: (000) 000-0000.
Email
example@example.com
Please tell us about any arts or handicrafts you have pursued
Please tell us what interests you about our Club, including any courses you would like to pursue.
If you were referred by a Handicraft member, please let us know her name
Please complete this application and click the link below to submit it to the Club Manager. Karen will respond to you shortly to arrange payment, and if you haven't already done so, a time to come in for a tour.
Signature
Date

MonthDayYear
Date
Should be Empty: