Hull Pottery Association Membership

  

Yes, I want to join the Hull Pottery Association

(Print this form and mail with payment to the address below)

NAME(s):____________________________________________

ADDRESS: ___________________________________________


CITY/ST/ZIP:__________________________________________

PHONE: ______________________________________________

EMAIL ADDRESS: ______________________________________

DATE:________________

CIRCLE ONE:

  • Individual $10.00
  • Couple $15.00

AMOUNT ENCLOSED: _______________________

REFERRED BY: _____________________________________

Make Check or Money Order Payable to:

The Hull Pottery Association
c/o Gloria Giese
4806 West Hilltop Drive
Kankakee, IL 60901
giese13@comcast.net

815-802-0711
Cell 779-435-3085