Yorkarvers Web Membership Application

Name:        __________________________________                            Date:  ___________    

Address:     ______________________________________________________________

                   ______________________________________________________________

City:          ________________________________    State:  _______     Zip:  __________

e-mail:      _______________________________________________________________

Number of years carving:     ____________          Phone No.  ________________________

To help defer the cost, may  we send your newsletter via e-mail?        (  ) yes        (  ) no

Areas of interest (choose all that apply) :
        (  ) Birds                   (  ) Ducks                (  ) Aquatic                    (  ) Carousel
        (  ) Animal                (  ) Relief                 (  ) Chip carving             (  )Miniature
        (  ) Caricature           (  ) Realistic     
        (  ) Other (describe)   __________________________________________________

What is your main interest in carving (choose only one)?
        (  ) Birds                   (  ) Ducks                (  ) Aquatic                    (  ) Carousel
        (  ) Animal                (  ) Relief                 (  )Chipcarving              (  ) Miniature
        (  ) Caricature           (  ) Realistic    
        (  ) Other (describe)   __________________________________________________

How would you rate yourself in your main interest of carving?:
        (  ) Professional       (  ) Advanced            (  )Intermediate            (  ) Novice     

Dues:  $15 / year     payable to “Yorkarvers”

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For further information about the Yorkarvers

e-mail Dave Andreychek