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

[  ] [  ]
 
Close this window