Please fill in all of the fields below so that we may set up your membership and be able to contact you.

Member Name
EHS Number	Renewal
E-mail
Tel
FAX
Address 1
Address 2
City
State
Zip
2nd Address	When?
Address
City
State
Zip
Tel
One year membership  is $35,

Do you wish the membership premium/gift Yes/No

          The gift is available at Edna Hibel Galleries or by mail.

         Membership Fees:

          One year membership  $35  Yes 

  

D you wish you gift mailed?   Yes/No   $4.95

Do you wish your gift framed?  Yes/No  $32.95

          Total fees ( membership+mailing+framing= ) 

         Gift Memberships

          Is this membership being given as a gift? Yes/No 

         What is the occasion?

          Please indicate the giver's name and address:

          Gift purchaser's name 

Gift purchaser's address

            Gift giver's email and telephone number:

           Email 

Telephone

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Enter any comments or special instructions in the space provided below:

If this space is not adequate, please email to hibelsoc@aol.com

Note: The Edna Hibel Society can not assist with valuation or product sales advice. Please see the FAQ link for guidance.

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You may complete your membership two ways:

 

         1.  Submit this form below and mail a check to:

 Edna Hibel Society, Box 9721

 Coral Springs, FL 33075- 9721

        I will pay by form/mailed check.  

 

2. Submit this form and go to our on-line shopping cart, select  the Edna Hibel Society category and complete the order for payment. I will use the shopping cart for payment.