Date_________________________ PLEASE PRINT

I_______________________________________________________,wish to
 apply for membership in the Central Indiana Leathercrafters. I understand I must
support the Guild, attend monthly meetings, keep my dues current and help to better
the guild with my time and talents.

Address____________________________________City________________________

_State_____________ZIP___________Home Phone__(_____)_____________________

Business Phone_________________e –mail___________________________________

I am interested in the following type of leather crafts.____________________________

___________________________ I have been working with leather___________years.

I will be willing to bring my work to show at a meeting Yes___ No__.
I am willing to assist the Guild when possible by serving on a board or volunteering to help in
 someway. Yes___ No____

My other hobbies include___________________________________________________

I am Married Yes__No___ My spouses name is_________________________________

We have________________children, there names are____________________________

_______________________________________________________________________

My birthdate is_________month_______day Spouse’s is_________month_______day

Signature___________________________

Single $15.00

Family $22.50 (2 adults)+ $1.00 per each child. All must live at the same address.

Lifetime $150.00 per person                      

Make check payable to Central Indiana Leathercrafters and mail with this

 form to: 

       Aimee  Bligan                                    

     1312 N Furman Ave

    Indianapolis, In 46214-3409

          317 241-8174

The Central Indiana Leathercrafters was formed July 31, 1981 with the purpose of the guild being
"To promote, develop, encourage, and expand the qualities of the art of leather craft,
at all skill levels from beginner to master".

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