The Puppetry Guild
of Greater Kansas City, Inc.

Membership Application and Renewal Form

(Please Print)

 
Date: _________         New ____        Renewal ____
 
 
 
Name:  _________________________________________________________________
 
 
Address:  ______________________________________________________________
 
 
City: ___________________________ State:  _______  Zip:
__________________
 
 
Phone: Home (______) _____________Phone: Work (______) ______________
 
Date of Birth: _________________ (for listing in Newsletter)
 
Would you like to be listed in the member directory? _______
 
Check Membership Category:
 
Single $10.00 ___   Group/Family $20.00 ___
 
Couple $15.00 ___   Newsletter Only $5.00 ___
 
Junior $7.50 ___    Puppet Patron $_____
 

(Puppet Patron is for those who would like to support
the guild but not be Members.)

 
Membership year is from June 1st to May 31st.
Checks may be made payable to and sent to:
Coyote Schaaf
1818 Washington
Kansas City, Mo 64108
816-471-1006, E-Mail Address
 
 

The Puppetry Guild of Greater Kansas City, Inc.