Membership Form

 

MEMBERSHIP APPLICATION/RENEWAL

Please complete this form and bring or mail it to the Art League, 433 S. Palmetto Ave., Daytona Beach, FL  32114.  Make checks payable to the Art League of Daytona.

NAME(S):________________________________________________________

__________________________________________________________  

ADDRESS:  ______________________________________________

CITY______________________STATE______ZIP___________

HOME PHONE:  __________________CELL____________________

EMAIL:_________________________________________________

TYPE:  Individual ($35.00)_____ Family ($45.00)_____ Lifetime ($350.00) _______

NEW MEMBER ________    RENEWAL _______