Pay Online Membership Application/Renewal Dues are $25 per year, renewable January 1st each year and includes spouse/children under 18. To Register/Pay Online Complete the Following Form: (Pay with PayPal or Credit Card – Fields Marked * are Required) MembershipAre you a new or renewing member?*--Select One--New ApplicantRenewing MemberAnnual membership of $25 is renewable January 1st each year.Name* First Last If you are paying for someone else, please include their name First Last Address* Street Address Address Cont'd City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone*Cell PhoneEmail* Local ForgeFor Membership Directory purposes, may we include your contact information?*YesNoLiability Release Statement – Read and Initial Below: I realize the potential hazards associated with the craft of blacksmithing and will not hold the Appalachian Area Chapter of Blacksmiths, its officers, demonstrators, or any member responsible or liable in the event of an accident or injury incurred during a chapter function, including but not limited to chapter meetings, classes, and demonstrations. I am aware of the requirement to wear safety glasses during all demonstrations and while working at chapter member forges. I am also aware of the danger of hearing damage due to the nature of the craft and accept responsibility of taking the necessary steps to protect my hearing. I further agree to inform any family members or guests that I may bring to a chapter function of these potential dangers and will advise them to take all necessary precautions. >>>Entering my initials below*>>indicates I have read and understood the information provided above.