FLORIDA SOCIETY OF GOLDSMITHS

MEMBERSHIP APPLICATION

Complete Form, submit with check to:

Florida Society of Goldsmiths

Attention: Jean Marie DeSpiegler

719 Central Avenue

St. Petersburg, FL 33701

727.822.7872 (x28)

fsgjm@earthlink.net

www.fsg4u.com

Please print:

NAME_______________________________________________

E-MAIL______________________________________________

ADDRESS_______________________________________________________________

CITY_______________________________ COUNTY_________ STATE____ ZIP________________

TELEPHONE: HOME________________________ WORK______________________

REFERRED BY: _____________________________________

ANNUAL DUES:     $40.00 SINGLE     $60.00 DUAL     $20.00 STUDENT

All dues have a common renewal date of January 1 each year

FSG is a 501(c) 3 non-profit organization created by metalsmiths to aid and support other metalsmiths through meetings, publicity, workshops, and exhibitions. Contributions are tax deductible to the limits the law will allow. There are no geographic restrictions or limits to kinds of metals employed. FSG has six chapters in the state of Florida and a large membership outside the state. FSG publishes a quarterly newsletter at www.fsg4u.com.