Old Morgantown Glass Collectors’ Guild

  www.OldMorgantown.org

APPLICATION FOR MEMBERSHIP

Just $21 grants you all the rights and privileges afforded to Guild members. Included with your membership are four issues of the quarterly newsletter, the TOPICS. The information shared as a guild member will be extremely valuable compared to the cost of membership, especially if you collect Morgantown Glass. Additional members of a household may become associates of the Guild and still enjoy associated privileges at an annual fee of $2.50.

Type Of Membership:

Full OMGCG Voting membership   $21.00

________ Regular ________ Gift
Associate Membership   $2.50 ________ Regular ________ Gift

________ Renewal

________ New Member

Special Offer

For a limited time only, the first 100 new full membership is entitled to a copy of Handbook of Old Morgantown Glass by Jerry Gallagher free (or for only $4.95 the cost of shipping if applicable). This offer expires 12/31/2012. If you are a new member and do not wish to receive a copy please initial here.  ______

Name:________________________________________________________________________________________

(please print)

Address:______________________________________________________________________________________
City:__________________________________________ State:_______________ ZIP:_________________
Phone:________________________________________________________________
E-Mail Address:_________________________________________________________
Name of Associate Member(s) (if applicable):_______________________________________________________
Name of Person(s) giving Gift Membership(s):_______________________________________________________
Additional Donation:  $ _____________________________________________________
Total Enclosed:  $ _________________________________________________________
Please make your check payable to OMGCG and mail to:
Treasurer
Old Morgantown Glass Collectors’ Guild
P.O. Box 894
Morgantown, WV 26507-0894

As OMGCG is recognized by the Internal Revenue Service as a 501 C (3) non-profit, historical and educational organization, your dues/donations may be tax deductible. For information whether or not these dues/donations are tax deductible for you, please check with your accountant or tax advisor.