TRI-STATE ART GUILD 2009 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
Tri-State Art Guild
Dick Blick Art Materials