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 The Southern Flames 

Member Directory Form 

Name: 

Bead Business Name / Website

Address:                                                                                                          

Telephone:

Alternate Telephone (mobile or  work):

Alternate Telephone (mobile or  work):

Email Address:

Are you a Member of the ISGB?     Yes       No

Would you like to be included in the SF Membership Directory (check one)

               Please include my name only

               Please include my name and contact info

               Please do NOT include me in the directory.

Please answer the questions below to help us to get to know one another better.  Any answers provided will be included in the directory.

What is your 'regular' occupation?

What type of glass work do you do?

Do you teach any type of glasswork.  If so, what do you teach?

Do you sell your work (please indicate beads, finished jewelry, etc.)?.

Any other information you would like to share (other hobbies, family, pets etc.) 

Please bring to the next meeting or mail to:

Southern Flames

P.O.Box 76757

Atlanta, GA  30358