Application for Membership in the Fountain Hills Art League

Yearly Dues Through December, 2016: $30 Per Person, $40 Per Couple, $20 Per Student (under 18)
Make check payable to : Fountain Hills Art League
Mail completed form to: Frank Keenan
                                              P. O. Box 18509                             
                                             Fountain Hills, AZ 85269


Name: ________________________  Medium/Patron: _____________________

Address: ______________________  City/State/ZIP________________________

Phone: _____________ E-mail: ________________________  FAX: ___________

Website: ________________________________

It is requested that each member commit to 2 hours or more of volunteer service to organization: Please check one or more:

[   ] I will assist with exhibitions      [   ]  I will serve on a committee    [   ]  I will help with membership

[   ]  I will accept a Board Position    [   ]  I will serve on a telephone committee

[  } I will help with publicity  [   ] I will plan a workshop   [   ]  I will teach a workshop 

[   ]  I will demonstrate at  a meeting  [   ] I will help with refreshments  [   }  I will help with the newsletter

[   ] Other: __________________________________________________________

[   ] Attached is Check #:  _______     [   ]  Cash, Amount enclosed: $ ____________