MEMBERSHIP APPLICATION
FOR
THE Fostoria GLASS SOCIETY
OF AMERICA, INC.
A non-profit organization dedicated to the study of Fostoria Glass
and the preparation of domestic handmade glass.
Benefits for membership include: receipt of our newsletter
"Facets of Fostoria"; informative quarterly meetings;
glass shows; auctions and other special occasions.

YEARLY DUES ARE $25.00 PER PERSON

NAME _________________________________________

ADDRESS ______________________________________

CITY _____________________ STATE _____ ZIP _______

PHONE _________________________________________

eMail (Optional) __________________________________

Fostoria Collecting Interest (Optional):

_______________________________________________

Please make checks payable to and mail to:

Fostoria Glass Society of America
P.O. Box 826
Moundsville, WV 26041