Almonte and Area Artist’s Association Name: ________________________
Membership 2011 - 2012
Membership is from September to June (no meetings in July/August)
Tick One [ ] - New Member $25 [ ] - Returning Member $20 [ ] - Family $35
Cheques should be made payable to “Almonte And Area Artist’s Association”
and mailed to the address below along with a copy of this form
Please Print
Address
|
|
Town/City
|
|
Province
|
|
Postal Code
|
|
Telephone
|
|
Email address
|
|
Website URL
|
|
Medium
|
|
Do you prefer to receive your monthly newsletter by: [ ] - Email [ ] - Mail
Do you wish any of your personal information displayed on our website 4A-Artist.ca?
Item [ ] - Name [ ] - e-mail address [ ] - website URL [ ] - telephone number
Please sign below for permission to display the above selected items:
Signature: _______________________________ Date: _____________________
Membership Inquiries and Information:
AAAA Membership, c/o David Whiteley
224 Munro Street, Carleton Place, Ontario, K7C 1G8
613-257-5765
www.4A-Artists.ca
