New Membership Form First Name (required) Last Name (required) Are you a returning member? YesNo Address (required) Address City State —Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingDistrict of ColumbiaPuerto RicoGuamAmerican SamoaU.S. Virgin IslandsNorthern Mariana Islands Home Phone Cell Phone Would you like your phone number displayed on the TPG website? YesNo Email Address (required) Website * Please provide the name of the TPG member: I am interested in helping with: Shows and SalesWorkshopsCommunity OutreachAnyway I CanPublicityFundraisingRefreshments (Up to $35 reimbursement) How would you like to pay? CheckPaypal Please complete this form and mail your check made payable to Triangle Potters Guild to: Triangle Potters Guild ATTN: Membership PO Box 10161, Raleigh NC 27605 Print the form to mail in Membership Individual $25.85 USD Family $38.63 USD Student $15.63 USD