INTERNATIONAL INTERNET LEATHERCRAFTERS' GUILD, INC

~ MEMBERSHIP APPLICATION ~

 

Date:                                     

Email Address:                                                        Yahoo! ID/Profile:                                        

First Name:                                       M.I.:                 Last Name:                                                  

Address:                                                                                                                                           

City:                                                    State:              Zip:                 Country:                                

Phone No.:                                                    Spouse's Name:                                                    

Occupation:                                                                                                                                     

Other Leather Guild Membership(s):                                                                                         

How I heard about the Guild:                                                                                                       

                                                                                                                                                           

I have been working with leather since the year:                                                                     

The type of leatherwork I enjoy doing:                                                                                        

Currently, I work with leather as a:           Business                  Hobby                        Both

Business Name:                                                                                                                            

Website URL (if any):                                                                                                                     

I would like to order                          additional IILG Embroidered Patch(es) at $5 per patch

and/or             additional IILG Lapel Pin(s) at $3 per pin.

 

Remarks:                                                                                                                                         

                                                                                                                                                           

 

Dues [annual] $10

Initiation Fee [one-time] $10

Extra Embroidered Patch[es] $5 for each additional

Extra Pin[s] $3 for each additional

Payment Method for Dues (plus added items, if any) __PayPal __Money Order __Check

[if paying by check/money order make payable to: "International Internet Leathercrafters Guild"]

[US funds only]

 

Return to:

Pat Hay

IILG Treasurer

PO Box 98

Cary, Mississippi 39054

treasurer@iilg.net