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New Member: Former Member: Renewing: Gift Membership:
Member’s Name (as it should appear on membership card):
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Membership Categories (please check one): $1,000+ Founders Circle: $500 Patron: $250 Donor/ $300 Business Sponsor: $125 Sponsor: $75 Friend: $50 Active: $25 Textile Arts Council – Sterling Needle:
Membership Dues: $
Gift Membership: $
Additional Contribution: $
Total Amount Enclosed: $
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Expiration:
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Gift Membership?
Please complete the Membership Application in the name of the new member. In addition, please provide us with your name, address and phone number (below) so that we can contact you if there are questions.
Gift from:
Your Name:
Your Address:
Your City:
Your State:
Your Zip Code:
Your Telephone Number:
Please send Membership card to:
Me: Recipient:
Leonora Muse Curtin by Benjamin C. Brown
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