Membership Application

General annual membership is $25.00.  Student membership $15.00 (must be full time student). 
Memberships are renewable in January.  Make checks payable to the Georgia Goldsmith's Group. 

Please mail to:  Alan Bremer, 785 Cumberland Road, Atlanta, GA 30306. 
gggemail@ballsouth.net   Phone: 404-872-3001

Name: _________________________________________________________________________________________

Company: ______________________________________________________________________________________

Address:________________________________________________________________________________________
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E-Mail: _________________________________________________________________________________________

Website URL: ____________________________________________________________________________________

Home Phone: ________________________________  Work Phone: ____________________________

Please include information about yourself that can be included in the directory, your work and/or interests:
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Choose one:
o Please publish my name in the GGG Directory   
o Please do not publish my name in the GGG Directory   

Also let the board of directors know what you would like the group to accomplish:
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