Clinton Art Society - 2009 Membership Application Form
Annual elected member dues are $25 and associate member dues are $20. Make
your check payable to Clinton Art Society. Please PRINT clearly.
___ Renewing Member ___ New Member
NAME:______________________________
STREET:____________________________
TOWN, STATE & ZIP: _________________
PHONE: _ ______ CELL PHONE: _________
E-MAIL ADDRESS:
____________________
The Clinton Art Society is reliant on volunteer activity of its members. Please indicate the type of activity
you would be interested in helping.
___ Exhibitons ___ Publicity___ Newsletter
___ Web Site ___ Membership ___Other
Please complete
this form, attach a check made to the Clinton Art Society and mail to: Clinton Art Society at P.O. Box 421, Clinton, CT 06413
