New Membership Form

    First Name (required)

    Last Name (required)

    Are you a returning member?
    YesNo

    Address (required)

    Address

    City

    State

    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?

    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


    Membership