2009/2010 MEMBERSHIP
The Membership Committee asks that you complete and send back the bottom portion of this form along with your
dues no later than October 31. Your response will update and/or confirm our 2009/2010 membership data and your
prompt payment will greatly facilitate our bookkeeping. You may pay your dues at the September and October meetings, but
remember to also include this completed form. We appreciate your help with this process. ¨ Dues until Oct. 31 are $25 for an individual, $35 for a family. ¨ As of November 1, renewal dues will be $30 and $40, respectively. ------------------------------------------------------------------------------------------------------------------------------------------------------------- PLEASE PRINT CLEARLY and COMPLETE (even if you completed one last year) and return with your payment. _____ Individual _____ Family NAME:__________________________________________________________ ADDRESS:___________________________________________________________________________ TELEPHONE: (with area code, IF required to call) ____________________________________________ EMAIL ADDRESS:(Important for Newsletter and Membership List)_______________ ART INTERESTS:______________________________________________________________________________________________ WORKSHOP PREFERENCES:_________________________________________________________________________________ WHAT OTHER ART ORGANIZATIONS DO YOU BELONG TO?:_____________________________________________ _________________________________________________________________________________________________________________ DO YOU HAVE AN INTEREST TO TEACH? IF SO, WHAT MEDIUM?_______________________________________ Send to: Rosie Brehm Make Check Payable To: ART GUILD OF TELLICO VILLAGE Membership Chairman $25 Individual $35 Family Loudon,