CTWS Membership Application

Date: ________________________ Date of Birth (Year is optional) _______/________/________

Name: ________________________________________________________________

Street Address: _________________________________________________________

City: _________________________________ State: ________ Zip: ______________

Home Telephone #: #: (______) ___________________________________

Cell Telephone #: #: (______) ___________________________________

Work Telephone #: (______) _____________________________________

If you work, is it possible for you to receive phone calls at work? Yes ____ No ____

Occupation: _____________________________________________________________

Email address: ___________________________________________________________

Special Interests: _________________________________________________________

Talents/Abilities you might be willing to use for the benefit of CTWS:

 

 

 

Check one:

( ) Brand New Member*

( ) Renewing Member (give original/previous membership date ___________)

Annual Dues: $35 (Membership Fees - CTWS Fiscal Year runs from Oct. 1 to Sept. 30)

Check #______________________________________

Date on check _________________________________

Dues collected from new members from June 1 – Sept. 30 (up to 120 days preceding current fiscal year end) are applied to new member’s dues for the next fiscal year.

Please make checks payable to Central Texas Watercolor Society and mail to Central Texas Watercolor Society, ATTENTION: Treasurer, P. O. Box 21686, Waco, TX 76702-1686.

CTWS Use Only

Date of Deposit ______/_______/_______ Entered on CTWS database _______