CGW Member Application

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Membership Form

PLEASE PRINT OUT THIS PRINTER-FRIENDLY FORM, FILL IT OUT COMPLETELY AND MAIL IT WITH YOUR CHECK PAYABLE TO:

The Costumer’s Guild West, Inc.
2148 S. Fremont, Box 24
Alhambra, CA 91806

Membership pricing (in U.S. funds)

One Year Membership

What You Get

General CGW, Inc. Membership for single individual:

Membership in the CGW, Inc.
Voting rights in the CGW, Inc.
CGW monthly newsletter
Discounts on all CGW, Inc. events, including Costume College®
Any discounts offered by “Sister Organizations” (see Standing Rules for definition of Sister Organization)

CGW, Inc. Household*
Each additional resident

Membership in the CGW, Inc.
Voting rights in the CGW, Inc.
Discounts on all CGW, Inc. events, including Costume College

Please TYPE, or print LEGIBLY

Name: ___________________________________________________________

Mailing Address: ___________________________________________________

City: ________________________________ State _____ Zip Code __________

Telephone Number: _________________________________________________

E-mail address: ____________________________________________________

Items Purchased	Price	Quantity	Total
Individual CGW membership: (choose ONE type of individual - not household - membership)
U.S. Resident	$30.00
Canada Mexico Resident	$31.00
International Resident	$36.00
Each additional CGW Household* membership	$15.00
Grand Total

*CGW Household membership may only be purchased in conjunction with the purchase of a CGW individual membership, for each address, and cannot be purchased as a stand-alone item.

Additional Household member: _________________________________________

E-mail address: ____________________________________________________

Telephone Number: ________________________________________________

Additional Household member: ________________________________________

E-mail address: ____________________________________________________

Telephone Number: ________________________________________________