11/01/2017
2018 PGI Membership Application Please consider using the online
membership system, visit www.pgi.org/member for more
information.
The Pyrotechnics Guild International (PGI) is a non-profit
fellowship of pyrotechnic enthusiasts founded in 1969, incorporated
in 1974 that is dedicated to the Advancement of Safety, Skill, and
Artistry in Pyrotechnics through
Communication & Education, and to the Preservation of
Pyrotechnics throughout the World. Last Name First Name Office Use
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Mailing Address
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How did you hear about us?
Why are you interested in joining?
Add to public mailing list? Yes No Date of Birth
Add to e-mail list? Yes No Past Member? Yes No
Full membership, with all privileges, applies to all members 18
or older. Fees are valid until 12/31/2018.
$100 $
$45 $
$60 $
$45 $
$2,500 $
Full Membership w/ Bulletin (must be at least 18)
Full w/o Bulletin * (must be at least 18)
Junior Membership w/ Bulletin + (must be under 21)
Junior w/o Bulletin * + (must be under 21)
Life Membership w/ Bulletin Life (must be at least 18)
* Requires at least one membership with Bulletin at same
household address+ If you are under 18 and applying for a Junior
membership, written permission from your parent or legal guardian
is required.
Payment Method Check Money Order Visa MasterCard Credit and
debit cards are welcome. Please do not send cash. Checks must be in
US funds, drawn on a US bank, and payable to the PGI.
Card # CV Code Exp Date
Signature Date
Please sign whether or not you pay by credit card. “By signing
above I agree to abide by PGI Bylaws and policies.” Bylaws
available at www.pgi.org
Send completed form to:
Julie WozniakPGI Membership Services Manager 1032 Georgetown
Road Michigan City, IN 46360
Tel.: (219) 872-2503
E-mail: [email protected]
Members paying by Credit or Debit Card may mail or e-mail their
forms.
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