DGC Membership Enrollment Form

Please complete and submit the Membership Enrollment Form to join as a new member or renew your existing membership. Please make sure that all information is complete and current.

Individual Membership dues are $15.00 per year. Family memberships are $25.00 per year. New Memberships paid at the annual show are valid through December 31 of the year following the year of joining (14 months for the price of 12).

Checks should be made payable to Collectors of Depression Glass, Inc. and mailed to:

CDG Treasurer

1725 Art Museum Drive

Jacksonville, FL 32207

You may also join as a new member or renew your membership dues at a regular monthly meeting.

Name*	Date of Birth*
Mailing Address*	E-Mail Address*
City*	Home Phone*
State	Cell Phone
Zip Code*	Work Phone
Please list the first and last names & date of birth of other family members included in this paid membership:
Name	Date of Birth
Name	Date of Birth
Additional Comments
Please check the "Also send me a copy" checkbox if you wish to receive a copy of your membership enrollment form submission via e-mail.
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