Membership in the Pacific Northwest Carnival Glass Club is $20.00 per household per year. To apply for membership, please print this page, fill out all information, and mail along with $20.00 check or money order to:

LeAnn Swigert
P.O. Box 734
Rupert, ID 8335

Membership Application - PNWCGC

I  N  T  E  R  N  E  T    F  O  R  M

Circle Type:

New Member                  Renewal

Name: __________________________________________________________

Address: ________________________________________________________

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State: _______________________________  Zip: _______________________

Telephone: _______________________________________________________

 

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