COASTAL CARVERS MEMBERSHIP

               APPLICATION

Please complete and mail to:

Coastal Carvers

C/O Beth Fox

30470 SW Moriah Lane

Sheridan, OR  97378

Make checks payable to: Coastal Carvers

(Dues are $15.00 per year)

PLEASE ENROLL ME AS A MEMBER OF COASTAL CARVERS

Name________________________________________________

Address______________________________________________

City_________________________________ State____________

Zip Code________________ Phone (optional) _______________

Email Address__________________________________________