SVIPG Membership Registration South Vancouver Island Potters Guild Annual Membership (September 1, 2026 – August 31, 2027) Δ Name(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Phone: in this format (XXX) XXX-XXXX(Required)Email(Required) Website Instagram (Optional)Facebook (Optional)Membership Detail(Required) I am a Returning Member (I have been an SVIPG member in the past) I am a New Member (This is my first time joining the SVIPG) Annual Membership FeeMembership is valid from September 1, 2026 to August 31, 2027. Please note that the membership fee is not pro-rated. Price: How would you prefer to pay:(Required) Credit Card Payment (pay now using the fields below) Interac e-Transfer (please send to svipottersguild@gmail.com within 24 hours) and include your full name in the subject or details box. I will pay (or have paid) by cash or cheque at an in-person meeting. Cheques may also be mailed ℅ Krista Sears at 8910 Forest Park Drive, North Saanich BC V8L 4E9 Credit Card Cardholder Name Card Details Membership Directory – Consent, Privacy Agreement, and Liability Waiver (Optional) I agree to have my contact information included in the membership directory accessible to other members of the South Vancouver Island Potters Guild. I have read, understood, and agree to the Privacy Agreement, and Liability Waiver as detailed below.I understand the importance of protecting the privacy of all members, and that the membership directory must not be shared, forwarded, or used for individual or mass advertising, marketing, or business promotion of any kind including products, sales or events. I release and hold harmless the South Vancouver Island Potters Guild, its directors, officers, and volunteers from any and all liability, claims, or damages arising from the misuse of my information by third parties or technical data breaches."Many hands make light work"We encourage every member to become an active part of the Guild, please consider volunteering – it is a great way to connect and get to know your fellow Guild members and help contribute to making our Guild successful. If you are interested in getting involved and/or have a special skill that you could share – please indicate your interest and provide details below. Help with monthly meetings (set up, kitchen, raffle, etc.) Organize (or deliver) a presentation or workshop for one of our meetings or for a special event. Help with Social Media and/or other promotion such as creating posters for our events Help with coordinating or executing a sale or workshop Help with the Guild Library (requires presence at Guild meetings) Please add any additional ideas or details below: