To become a member please print out this form and mail both the form and a check payable to "Laurelton Art Society" to:
LAURELTON ART SOCIETY
P.O. Box 1425
Brick, NJ 08723
Click here for a printer friendly form
MEMBERSHIP DUES |
||
| ( ) | Individual Membership | $25.00 |
| ( ) | Student Membership (Ages up to 18) | $ 5.00 |
| ( ) | Business Membership | $25.00 |
Date: ___________________________________________________
Name: __________________________________________________
Street Address: ____________________________________________
City, State, Zip: ____________________________________________
Telephone: _______________________________________________
E-mail Address: ____________________________________________
Art media you work in: _______________________________________
| Please indicate if you are qualified to: ______ Teach ______ Lecture ______ Demonstrate |
||
| Please indicate if you are interested in volunteering in any of the following areas? |
| ( ) LAS Grant Committee | ( ) Exhibits Committee |
| ( ) April "Festival in Art" | ( ) Society Photographer |
| ( ) Hospitality Committee | ( ) Annual Dinner Committee |
| ( ) Scrap Book / Historian | ( ) Annual Trips Committee |
| ( ) Membership Committee | ( ) Program Committee |
| Comments, Suggestions, Special Needs: |