Membership Application
Name:  
Address:  
City:  
State:       Zipcode:  
County (if in Florida):  
Telephone:       Fax:  
Email:  
Your craft medium:   Clay: Enamel: Wood: Jewelry: Beading: Glass: Paper:
Leather: Metal: Mixed Media:
Other:
Membership Categories One Year Two Years
Student (must verify with ID) $25  
Professional Artist $35 $65
Individual $40 $75
Family/Dual $65 $120
Supporting $75  
Non-profit Organization $75  
Corporate $150  
Contributing $250  
Patron $500  
Benefactor $1000  

Included with payment is a donation of $  to support the Edythe Epperson Powell (EPP) Educational Endowment awarding scholarships to craftspeople. Your membership is tax-deductible to the extent allowed by law. Annual dues are effective upon receipt of membership form and dues. Thank you! TOTAL ENCLOSED: $ 

Enclosed Is:
Check: (Make payable to Florida Craftsmen, Inc.)
Credit Card:    MasterCard    Visa
 Discover    American Express:
Card Number:  
Expire Month:     Year:  
Signature:   ______________________________________________________________

Please print and mail this form with your check or credit card information to:
FLORIDA CRAFTSMEN, INC.
501 Central Avenue
St. Petersburg, FL 33701
Phone: 727.821.7391