| Membership in the Bead Society of Los Angeles - Application Form |
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| Name:________________________________________ |
Date of Application: ___________ |
| 2nd Person:____________________________________ |
New ( ) Renewal ( ) |
| Address:_______________________________________ |
Phone: ( ) ________________ |
| City / State / Zip:________________________________ |
Email:_____________________ |
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Amount Enclosed: $40 for one membership ( ) $60 for two at same address
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| I am a: Collector ( ) Beadmaker ( ) Designer ( ) Dealer ( ) Other ( ) ______________ |
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| I am interested in working on the following: |
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Newsletter ( ) Book Table ( ) Bazaar ( ) Programs ( ) Membership ( ) Workshops ( )
Hospitality ( ) Hostess ( ) Advertising ( ) Bead Challenge ( ) Other ( ) __________ |
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Make your check payable to the Los Angeles Bead Society
and mail with the form to: |
Los Angeles Bead Society
Attn: Membership Manager
P.O. Box 241874
Los Angeles, CA 90024-9674 |