May be printed
out or copied and pasted into e-mail entry.
|
Membership
Form
|
| Name |
| |
| Address |
| |
| City |
|
State |
Zip |
| |
| Home
Phone |
|
Cell
Phone |
|
| |
| E-mail |
|
Web
site |
|
| |
| Active Member |
| Senior/Student
$25 |
Artist
$35 |
Family
$50 |
Additional Gift |
| [ ] |
[ ] |
[ ] |
[ ] |
| Supporting Member |
| Senior/Student $35 |
Artist $50 |
Family $75 |
Business $100 |
| [ ] |
[ ] |
[ ] |
[ ] |
| Interests |
| Sitting:
once a week |
once
a month |
call
when needed |
Fund
Raising |
|
[ ]
|
[ ] |
[ ] |
[ ] |
| Reception
(asking locally for a donation) |
Other
(specify) |
| [ ] |
[ ] |
|
Members
receive10% off all purchases and receive notifications of all
events.
|
|
Hard
copy |
E-mail
|
|
| [ ] |
[ ] |
| |