Membership Application

;

Contact Us

First Name:

Last Name:

Email:

Phone:

Comments:

Membership Application
To apply for membership in CRAFT please fill out the information below ( the (*) information is required) Choose your user name and password for accessing the member sections of this website Choose your membership category Choose your dues payment method (if you choose "pay online now", you will be using a totally secure payment system through Authorize.net)

Last Name*

Title

Company*

Address*

Address 2

City*

State*

Zip Code*

Phone*

Fax

E-mail*

Web Site

% of inventory devoted to American craft (Retailer only)*

address of storefront location (Retailer only)*

User Name*

Password*

confirm password


Section 2: Membership Information
Referral Source Member Name

Section 3: Membership Type

Membership Type*


Section 4: Payment
Payment Method* Credit card Check


Section 5: Directory Listing
	Your directory listing will be listed in a PUBLIC directory and included in the directory RSS feed for this site. Please do not include private information that you do not want made public in your directory listing.
Use my User Information
First Name

Last Name

Address

Address 2

City

State

Zip Code

Phone

Fax

Website/URL

E-mail


For security reasons, type in the code below:



Thank you for applying for membership in CRAFT. If you chose above to mail or call in your dues payment, our mailing address and phone are: CRAFT PO Box 293 Islamorada FL 33036 Phone 305-664-3650 Fax 305-664-0199