KC CLAY GUILD MEMBERSHIP FORM OUR MISSION: To provide a supportive environment in which the clay community can meet, share knowledge, experience, and promote public awareness of the ceramic arts and foster creative and economic growth. Check One: ____ New Member  ____ Renewal Please fill out this section even if you are renewing a membership and please print clearly. First and Last Name:___________________________________ Date of Application____/____/____ Street Address 1:__________________________________________________________________ Street Address 2:__________________________________________________________________ City:______________________________________________State:_______Zip:____________ Home Phone:________________________ Studio / Work Phone:____________________________ Email:___________________________________________________________________________ Would you like to receive newsletters and information about our special events? ____ YES ____NO How would you like to receive them? _____ EMAIL _____ Regular Mail Check one: Basic Memberships: Good until December 31st. Renewals due on January 1st ____Individual === $40.00 (Membership for one person.) ____Family ===== $50.00 (Includes all family members living in same household.) ____Student ==== $20.00 (Requires full time I.D.) Supporting Memberships: Memberships paid above Basic Memberships are tax deductible. ____Contributing === $50.00 ____Business ===== $95.00 ____Sponsoring === $100.00 ____Patron ======= $250.00 ____Benefactor ==== $500.00 How did you hear about the KC Clay Guild? ____Friend ____Pitch Weekly ____Internet Search ____Raku Night ____Communiversity ____Guild Member ____KC Star ____Other:________________________________________________ Please make checks payable to: KC CLAY GUILD Please mail or drop off completed form with your check to: KC Clay Guild 200 West 74th Street Kansas City, MO 64114   Note: Make sure you get your membership card! If you are mailing in your membership dues, your membership card will be filled out and placed inside the cash register. You may pick it up the next time you are at the KC Clay Guild. Call 816-363-1373 if you have any questions. Print this document directly from your web browser!