Print this page and mail the completed form to Rudy Torrico, 10113 Withers Rd., Charlotte, NC 28278. |
Name__________________________________________________________________
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Street__________________________________
City_______________ State_____ Zip________ |
Phone________________________
Email_________________________ |
Art Style/Medium________________________________________________________ |
Type of Membership
| ____Member $40 |
____Corporate $100 |
| ____Patron $50 |
____Benefactor $200 |
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Membership is from the date you join until the next year. Dues are due on you anniversary date.
Make checks payable to
GUILD OF CHARLOTTE ARTISTS |
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