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Become a Springwater Associate (Print this page or click here for printer friendly form.) Please print clearly! Name ____________________________________________________________________________ Address __________________________________________________________________________ City ____________________________________________ State ____________ Zip _____________ Phone (Day) ___________________________ (evening) ____________________________________ Email ____________________________________________________________________________ Associate category (please check one) ___$45 Single ___$30 Senior ___$30 Student ___$65 Family ___$75 Supporter ___$250 Sustainer Method of payment: Check #_________ __Cash ________ Credit Card: MC ______Visa________ Acct. # ________________________________________________________ Exp. ______________ Signature (required for credit cards)_____________________________________________________ Fiber Interests Weaving __ Knitting __ Spinning__ Basketry __ Crocheting __ Dyeing__ Surface Design __ Fiber Sculpture__ Rug Hooking __ Lacemaking__ Papermaking __ Creative stitchery__ Other___ I would like to help with Fund-raising/grant writing ___ Publicity___ Newsletter___ Store___ Office___ Outreach___ Special events___ Annual Show___ Other_______________________________________ Please mail this form with your check or credit card information: Springwater Fiber Workshop 808 North Fairfax Street Alexandria, VA 22314. Any questions? Call 703-549-3634. Springwater is supported by the United Way and by grants from the Virginia Commission for the Arts, the Alexandria Commission for the Arts, the Warren G. Stambough Foundation and other agencies and foundations. |
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©Copyright
Springwater Fiber Workshop. All rights reserved.</font></div>
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