CTWS Membership Application
Please complete all spaces on application, and type or print legibly.
Date: ________________________ Date of Birth (Year is optional) _______/________/________
Street Address: _________________________________________________________
City: _________________________________ State: ________ Zip: ______________
Home Telephone #: #: (______) ___________________________________
Cell Telephone #: #: (______) ___________________________________
Work Telephone #: (______) _____________________________________
If you work, is it possible for you to receive phone calls at work? Yes ____ No ____
Email address: ___________________________________________________________
Special Interests: _________________________________________________________
Talents/Abilities you might be willing to use for the benefit of CTWS:
( ) Brand New Member*
( ) Renewing Member (give original/previous membership date ___________)
Annual Dues: $35 (Membership Fees - CTWS Fiscal Year runs from Oct. 1 to Sept. 30)
Date on check _________________________________
Dues collected from new members from June 1 – Sept. 30 (up to 120 days preceding current fiscal year end) are applied to new member’s dues for the next fiscal year.
Please make checks payable to Central Texas Watercolor Society and mail to Central Texas Watercolor Society, ATTENTION: Treasurer, P. O. Box 21686, Waco, TX 76702-1686.
CTWS Use Only
Date of Deposit ______/_______/_______ Entered on CTWS database _______