* This application is for a:
New Membership
Renewal
* I do hereby qualify and apply for membership as a:
Regular Member ($100)
Associate Member ($100)
Junior Member ($75)
Artistic Member ($100)
Student Member ($30)
International Member ($125)
Retired Member ($50)
I agree to abide by the Charter and Bylaws of the American Scientific Glassblowers Society,
which govern the Society, and any and all amendments to said Charter and Bylaws which may be
necessary to add in the future so long as I remain a member.
I understand that the annual membership period is on a calendar year basis and that dues are
payable on January 1 of each year. Any person whose membership has lapsed or has resigned from the
Society may rejoin by paying the current dues and verifying with the National Office that their
membership classification has not changed under the rules laid down in Section 5, paragraph b.
Local Section affiliation preference:
* The Exhibitor's Section is reserved for Exhibitors of the ASGS. For more information, contact the Membership
Chair at membership@asgs-glass.org.
Formal Education and Glassblowing Experience: (Optional)
Referred by: (Optional)
* Please send mailings to my:
Home Address
Work Address
Please check phone number to be listed in membership roster (optional) (check one or both).
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Work Number
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Fax
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Email Address
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Home Address
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Date of Birth
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