The Phoenix Guild of Puppetry Membership Form

NAME:_______________________

ADDRESS:_____________________________    CITY/STATE/ZIP:_____________________

PHONE #:______________________

E-MAIL:_______________________

MEMBERSHIP TYPE:
I__ F__ C__ S__

ANNUAL DUES (Sept.-June) :

Individual (I): $15

Family (F): $20

Child (12 & under) (C): $10

Senior (60 & over) (S): $10

Please print a copy of this form, fill it out and mail it with your dues payment (check or money order) to:

Linda Brittain-- Treasurer, Phoenix Guild of Puppetry
3814 W. Altadena Avenue, Phoenix, AZ 85029-3126 

Make check/m.o. payable to: Phoenix Guild of Puppetry