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Membership Enrollment Application

Information requested (Other than contact information) is used solely to qualify the applicant as a true retailer, and will not be used for any other purposes, nor given or shared with the general membership and other parties.  Required fields are marked with a red asterisk (*)

Step 1: Business Information
Business Name *
Business Street Address *
City *
Zip Code*
Fax # 
Email Address*
Website URL*
Owner First Name*
Owner Last Name*
Length of time in business*
Wholesale Suppliers 
Supplier #1*
Supplier #2*
Hours of Operation
Step 2: Questionnaire
Please estimate the percentage of your business that is represented by the following areas (should add up to 100%, but if they don't you'll fit in just fine!) 
Storefront Retail Supplies
Teaching Classes
Finished Glass Products
Wholesale Supplies
Custom Art Glass
Internet Sales 
Please check any of the following classes that you current teach:
Beginning Copper Foil
Beginning Lead
Intermediate/Advanced Stained Glass
Glass Fusing
Glass Beadmaking
Lamp Workshops
Glass Painting
Glass Blowing
Step 3: Required Documentation: 
We require the following documentation:
1. A photo of your storefront with a visible identifying sign on the outside of your building.
2. Photo/s of the inside of your store, including the inventory/product areas.
3. A copy of your sales tax or business license.

To help expedite your application, upload the above documents (JPEGs) using the button below.  You can also mail them to our membership committee to:
Retailers of Art Glass Supplies c/o Shannon

Shannon's Stained Glassery

5904 Tower Ave

Superior, WI 54880

Upload images of documents
Step 4 Submit Application:

Please tell us how you found out about our organization and any additional information you'd like to share about your business. 

Once you submit this application you will receive a confirmation email. Once your application is approved, you'll receive the link to pay your $149 membership dues online and create a membership account for this website.

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