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Name(s): |
_______________________________________________________________ |
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Address: |
_______________________________________________________________ |
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City: |
__________________________________ State: ____ ZIP: ______________ |
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Phone: (home) |
____________________ |
(work)_______________ (FAX) ____________ |
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E-mail: |
____________________ |
Web URL: ______________________________ |
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Please check the following that apply: Craftsperson/ArtistMedia
clay
glass
fiber
wood
metal
stone
mixed (more
than one media in each object)
other (non
craft media i.e. painting, photography, printmaking)
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Non Craftperson/Artist
Area of interest:
Education
Gallery/Collector (list interests)
Art Organization
Craft/Art Supply Outlet
other (please specify)
______________________________________ |
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Occupation, Company Affiliation:
______________________________________________________ |
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Dues and Membership Categories |
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New Member |
Individual Membership |
$40 |
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Renewal |
Family Membership |
$55 |
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Full-time Student |
$20 |
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Senior 65 and over |
$25 |
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Patron |
$250 |
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Corporate, Sponsor |
$1000 or more |
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Individual Lifetime |
$2500 one time |
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Individual, corporate and Foundation support of Hawai'i Craftsmen
will be listed in newsletters and in appropriate program
announcements and catalogs if desired. |
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I/we enclose a general additional contribution of $________ to be
used as needed. |
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I/we would like to remain a nonmember, and contribute $_____________ |
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I/we recognize the importance of volunteers in helping this
organization remain vital and productive. I/we would like to discuss
volunteer opportunities, please call. |
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Payment may be made by:
Check - payable to Hawai'i Craftsmen
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Credit Card - MasterCard or Visa |
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Number: |
_________________________ |
Exp. Date ______________________ |
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Card Holder Signature: |
________________________________________________________ |
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Total Amount Enclosed: |
$____________________ |
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I/we are interested
in an installment payment plan for dues and donations over
$250. Please call us about these arrangements. |
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Please mail to: Hawai'i Craftsmen,
Membership
1159 Nuuanu Ave., Honolulu, HI 96817
Tel. (808) 521-3282 |