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Application

Please fill out the following application form.
(All fields marked with * are required.)

Contact Information
Your Name: *
Business Name:
Street Address: *
City: *
Province or State: *
Postal Code: *
Home Telephone: *
Business Telephone:
Fax:
Email: *
Website:
Membership Category *
Basic Membership - $33.90
Professional Craft Producer - $56.50
Youth – $20.00 for Full-time students age 19 and up, or $15.00 for age 18 and under.
Family - $45.20 for one adult plus children under 18 in the same residence.
Friends– Friends of Cape Breton Centre for Craft and Design are individuals or business who make acknowledged or anonymous donations of any denomination to support the Centre's ongoing development of cultural and educational programming and services. Charitable receipts are available.
Additional Information *
Please tell us a little about yourself.
What media do you work in?
Participation *
1. Are you interested in teaching your craft to others?
   yes   no
2. Are you interested in participating in our volunteer program?
   yes   no
3. Do you wish to have your name added to the Centre's mailing list, electronic or otherwise?
   yes   no
4. Do you give permission to have your name given to suppliers, promoters, etc.?
   yes   no
5. We receive numerous requests for names of individuals who can supply craft products. Do you permit the Centre to provide your name for inquiries relating to Cape Breton craft producers?
   yes   no

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