| ____ Yes! I want to join the Utah Storytelling Guild for the low annual membership fee of just $18.00. |
| $18.00 x ______________ = _________________ |
| Name____________________________________________________ |
| Address__________________________________________________ |
| City_________________________State__________ Zip___________ |
| Home Phone______________________________________________ |
| Work Phone______________________________________________ |
| e-mail___________________________________________________ |
| ____ New Member ____Renewing Member |
| Nearest Chapter: |
| ____Olympus _____Timpanogos Tellers _____ Summit |
| ____Cache Valley _____ Abajo Storytellers _____ Ben Lomond |
| ____ Dixie _____Horseshoe Mountain |
| ___Occasionally, others with storytelling information request our membership list. Check here if you would not like your name and address provided to these organizations. (Note: USG will not sell its membership list and only honor storytelling-related requests.) |
| Payable to: |
| Utah Storytelling Guild 13864 S. Vestry Rd. Draper, UT 84020 |
| For office use only. Date received______________ |
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