
The Ceramic and Glass Association of New York
Membership Application
Name:_____________________________________________
Affiliation:___________________________________________
Address:____________________________________________
City:______________________State:________Zip:__________
Phone:_____________________Fax:_____________________
Email:______________________________________________
| _____ | Individual Membership: |
$25
|
| Corporate Membership: | ||
| _____ |
a) < 250 employees |
$100
|
| _____ |
b) 250-1000 employees |
$200
|
| _____ |
c) > 1000 employees |
$300
|
| _____ | Student Membership: |
$10
|
| Remit to: |
Marlene Wightman, Secretary/Treasurer,
CANY
|