Membership Application Membership Application/Renewal June 1, 2019 – May 31, 2020 This Form is SECURED by a SSL Certificate (Secure Sockets Layer), also called a Digital Certificate and creates a secure link between this website and a visitor's browser. By ensuring that all data passed between the two remains private and secure, SSL encryption prevents hackers from stealing private information such as credit card numbers, names and addresses. Date* Name* First Last Address* Street Address City State / Province / Region ZIP / Postal Code Email* Enter Email Confirm Email Phone*Alternate PhoneMembership Dues*Please choose one: Renewal, New or Student Member.Renewing Member - $50New Member - $50Student Member - $25Consider a Sponsorship at One of 3 LevelsSAWG is a non-profit organization, supported financially by member dues, donations and fund raising. SAWG is now offering an opportunity to further support your gallery by being a Sponsor. Sponsorship helps SAWG accomplish its objectives as stated in its mission statement. We invite you to further support SAWG by becoming a sponsor at one of these three levels: NoneBronze - $150Silver - $300Gold - $500DonationAny donation is much appreciated. Please fill in an amount. CommitteesSAWG is a volunteer work force that relies upon its members to keep an ambitious schedule of activities running smoothly. Please consider the following committees and check one with which you’d like to volunteer your time.NonePublicityHospitalityWorkshopsProperty/Audio-VisualFundraising/Grant WritingShowsScholarshipTotal $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name NotesPlease let us know any additional information we should have.CAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms.