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Rockbridge Arts Guild
Membership Form
(Select print on your browser, fill in form and send
to address below)
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Name(s)
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___________________________________________________
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Address
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___________________________________________________ |
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City, State ZIP
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___________________________________________________
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Phone
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___________________________________________________
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Email
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___________________________________________________ |
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Art Medium
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___________________________________________________ |
Membership Fee Inclosed
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All memberships
from: Jan1- Jun 30 |
For new members
joining from:
Jul 1 - Dec 31
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Student:
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($10)___________
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($5)__________
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Individual:
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($20)___________
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($10)__________
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Family:
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($25)___________
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($12)__________
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Total Inclosed:
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___________
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__________ |
| Make check payable to Rockbridge Arts
Guild and mail to: |
Rockbridge Arts Guild |
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ATTN: Membership |
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PO Box 747 |
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Lexington, VA 24450 |
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