2010 Twin Cities Decorative Artists Guild Membership Application

MEMBERSHIP INFORMATION (This information will used in the TCDAG Membership Directory.)

Last Name_______________________________________________

First Name_______________________________________________

Address  ____________________________________________________________

Birthday (month & day) _________________________

City, State, Zip  ______________________________________________  

Spouse’s First Name ________________

Phone (home) _____________________________     Phone (work) ______________________________

FAX _____________________ Email _____________________________________

Please send my newsletter via e-mail _______

Work E-mail_____________________________________________________

Web Site_________________________________________________________

This is a:  General Membership _____  or  Business Membership _____        

New _____ or a Renewal ____ membership

Please list me in the directory as (check as many as apply):

Teacher _______   CDA _______  MDA _______  VGM _______  TDA _______

Do you consider yourself: ______Beginner  ______ Intermediate ______ Advanced  _____Expert

MEMBERSHIP DUES:

Annual dues are $15.  If joining after September 1, dues are $10.

Members of the TCDAG are required to hold annual paid membership to the Society of Decorative Painters (SDP).

Please attach a copy of your SDP membership card.  My SDP number is __________________.  If you have not
received your card, please indicate date membership applied for __________________.  All memberships to the
SDP will be verified.

Questions?  E-mail Sandi Larson at slarson@mallofamerica.com or mail this completed application and check made
payable to TCDAG in the amount of $15.00, with a copy of SDP membership card to:


Sandi Larson
8550 22nd Avenue South
Bloomington, MN  55425