Online Membership Application - American Scientific Glassblowers Society

Membership, and membership classification within the ASGS is governed by our Bylaws.

Applications for a new membership to the A.S.G.S. must be approved by the Membership Qualifications Committee. For that reason, membership activation is neither immediate or automatic. In general, most applications will be processed within 72 hours. If additional information is required to determine your membership status, the approval time could be longer. In particular, the limitations on the Junior and Student memberships require them to be reviewed each year. Applicants will be issued an invoice when notified of membership status.

Membership renewals of current members can be accomplished using either the mail/fax form or the online form below. After submitting your application and the review process completed, you will be issued an invoice by the National Office in the appropriate amount for your determined classification.

Both new member and renewal applications will be notified of their ASGS Member Only login credentials through their registered email address.

Please read and understand the member status requirements during your application process.

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Membership Application to:

The American Scientific Glassblowers Society

P.O. Box 1777, Norman, OK 73070

(716) 353-8062 (716) 353-4259 Fax

natl-office@asgs-glass.org

http://asgs-glass.org

We have two methods to apply as a new member, or renew your current membership. You can download the application form and mail or fax it to the ASGS National Office at the address above.

Apply or renew online using the application form below.

This application is a *

Has any of your contact information changed from last year? YesNo

Request Membership as* Regular MemberRetired MemberAssociate MemberArtistic MemberInternational MemberJunior MemberStudent Member

Contact Information

Please Note: You must provide at least one mailing address (work or home) to receive ASGS journal publications, notices, and Symposium packet

Last Name *

First Name *

Middle Initial

Employer, Organization or School *

Work

Work Address:
Street Address
Second Street Address
City
State/Province
Post - Zip Code
Country

Work Phone Number

Extension Number

Fax Number

Home

Home Address:
Street Address*
Second Street Address
City*
State/Province*
Post - Zip Code*
Country*

Home Phone Number

Cell Phone Number

Email

Email Confirm

Glassblowing Profile

How long have you been employed in this position?*

How many total years of experience do you have as a Scientific Glassblower?

Formal Education and Professional Glassblowing Experience. *(Optional)

For new applicants, in particular those applying for Student or Junior membership, please tell us about your Glassblowing School studies, Apprentice Program, etc. Please be as specific as possible.

Provide the name and contact phone number of the person referring you or a work reference.

Referred by:*
Phone Number:

Contact Information Consent

The ASGS does share member contact information with other members via a printed roster, annual CD roster, and an online member roster search. Your name will appear in the Member Roster, however, below you will find a check box to indicate your preferred level of participation in the contact sharing. The ASGS will never share this information with anyone other than its' members.

Please indicate your preference:*Yes, I would like my contact information included in the Member Roster.No, please withhold my contact information from the Member Roster.

Please send mailings to:* My work addressMy home address

Select Regional Section Affiliation:CanadianDelaware ValleyExhibitorGreat LakesMidwestNortheastPacific NorthwestRocky MountainSoutheastSouthern CaliforniaSouthwestNot Sure

Please send invoice by:PayPalemailPostal Mail

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