WISCONSIN PUPPETRY GUILD MEMBERSHIP FORM

___Adult or group $15

___Junior $5.00

PLEASE PRINT

Name_____________________________________________

Address______________________________________________

City_______________________________Zip___________

Phone(_____)__________________________________

Email__________________________________________

Check if you offer any of the following:

___puppets for sale

___workshops

___performances

Are you a member of the Puppeteers of America____

Mail this form with a check made payable to;

Wisconsin Puppetry Guild
Vice President - Membership
Zona Platzek
P.O. Box 157
Big Bend, WI 53103-0157