TRI-STATE ART GUILD 2011 MEMBERSHIP FORM
Date ____________________
Name___________________________________
Address_________________________________
City ____________________________________
State, Zip _____________Phone_____________
Email (for news) ___________________________
Website_________________________________
Medium/s________________________________
Membership Levels
( ) Renewal Member ( ) New Member
Make checks payable to Tri-State Art Guild.
Artist Member $25
Senior 60+/Student $20
Business Member/Sponsor $100-up
Mail to: Tri-State Art Guild
3011 Green River Road
Henderson, KY 42420
Call 270-826-6674 for more information
Date ____________________
Name___________________________________
Address_________________________________
City ____________________________________
State, Zip _____________Phone_____________
Email (for news) ___________________________
Website_________________________________
Medium/s________________________________
Membership Levels
( ) Renewal Member ( ) New Member
Make checks payable to Tri-State Art Guild.
Artist Member $25
Senior 60+/Student $20
Business Member/Sponsor $100-up
Mail to: Tri-State Art Guild
3011 Green River Road
Henderson, KY 42420
Call 270-826-6674 for more information
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