MEMBERSHIP FORM

Name

Birthday (m/d)

Address

Phone

Email(required)

Website

Type of Membership (required) Individual ($35/yr.)

Family ($50/yr.)

Senior 65+($20/yr.)

Patron ($100/yr)

If Family or Patron membership; please list the names of the other Members (your household only).

Volunteer(required) Shows (help with set up, receptions)

Meetings (set up and/or refreshments)

Membership (welcoming new members)

Newsletter (monthly)

Community Activities (helping with local events)

Workshops (I can teach or organize workshops)

I can help where needed.

Areas of Interest

Any other Questions or Comments?