Mile High Polymer Clay Guild
Membership Application

Annual membership is from June 1st to May 31st. If dues aren't received by the June Clay Day they will be considered past due.

Please fill in the application below then print it and mail with your check to:

Make your check payable to:
    Mile High Polymer Clay Guild or MHPCG

Mail to:
   Susan Mueller, VP Membership
   PO Box 4629
   Breckenridge, CO 80424

Check appropriate box:

Individual Membership

$30.00

Name:   

Address:

City:    

State:

Zip:

Home Telephone:

e-mail:

Affiliate Membership

$15.00


Include my name in the annual roster

Do Not include my name in the annual roster