Membership
 

Member Information
(please print)

Name  _______________________________________
Address  _______________________________________
City  _______________________________________
State  ______________ Zip  ____________________
Phone  _______________________________________
e-mail  _______________________________________

 
Membership Type
 
_____  $10  Individual _____  $100  Silver
_____  $20  Family _____  $250  Gold
_____  $50  Bronze _____  $500  Platinum

 
Volunteering
 

I would like to volunteer to help the workshop in these areas:
 
_____  Teaching Craft Classes
_____  Client Mentoring
_____  Client Social Events
_____  Fundraisers
_____  Mailings

 
Most memberships are tax deductible. 
Mail this form along with your check made payable to:
 

Jo Daviess Workshop, Inc.
706 West Street, P.O, Box 6087
Galena, IL  61036