APPLICATION FOR MEMBERSHIP/MEMBERSHIP RENEWAL
Name __________________________________________________ Date _______________
Address ____________________________________________________________________
City/State/Zip________________________________________________________________
Phone __________________________________ Fax _______________________________
email ______________________________________________________________________
Types of Membership: (All new members must add an initiation fee of $30.00*.)
( ) Professional-$20.00
( ) Associate-$20.00
( ) Intermediate-$15.00
( ) Student-$10.00 (no initiation fee - fill in blanks below)
1. School Name ______________________________________________________
2. Dept. Head/Instructor Signature _______________________________________
TOTAL ENCLOSED $__________________________
*Note: All members pay dues at the first of the year regardless of renewal or join date.
VOLUNTEER POSITIONS: (Volunteer and make your membership work for all of us.)
( ) Newsletter ( ) Publicity ( ) Membership ( ) Programs ( ) Mailings ( ) Food
( ) Other _________________________________________________________________
Please return this form with check and samples (if applicable) to:
Society of Illustrators San Diego, PO Box 6383, Oceanside, CA 92052-6383
For more information call (760)735-8818