WARP Directory Membership Form

WARP – Membership Directory Information

If you are a new member, please complete this form. If you are a renewing member, please provide Business or Individual Member name and complete changes to your current information.

Business or Individual Member Name:

Address:

City, State, ZIP, Country:

Home Phone:

Work Phone:

Fax:

E-Mail: Web Page:

Business Member Contact Name and Title or Optional Non-Individual Member Business Name:

Occupation, Position:

Textile Interests:

Describe yourself in 50 words or less, as you would like members to read about you in the directory.
(Please note that directory space is limited and descriptions over 50 words will be edited.

List all regions/countries in which you are interested or involved:

Indicate your interests:

Ethnic Textiles	Teaching
Tech Assistance	Marketing
Materials & Equipment	Research
Museum/History Studies	Producing Goods
Other - Please Describe:

The following information is for administrative use and will not be included in the Annual Directory.

Check all skills you would be willing to share:

Development of Educational Programs/Materials	Website Contributions	Translation - Languages
Fundraising	Legal Services	Printing/Graphics
Accounting/Tax Services	Other, please describe

How did you hear about WARP?

Member/Friend	Slide Show	Internet	Media
Conference		Other

Would you be interested in writing a newsletter article?

Would you be interested in presenting at a WARP annual meeting?

What topic(s) would you like to address?

Please share any comments, encouragements, or concerns you may have about WARP:

WARP, 3102 Classen Blvd., PMB 249, Oklahoma City, OK 73118-3899, USA
info@weavearealpeace.org 413-896-9393 www.weavearealpeace.org