PAYSON ART LEAGUE
Membership Application
New______
Renew_____

Date___________________
Name_____________________________________ Spouse Name__________________
Mailing Address__________________________________________________________
City__________________ State______ Zip_________ Home Phone________________
Business Name __________________________________________________________
Business Phone _______________Fax # ____________ e-mail ____________________

MEMBERSHIP CATAGORIES

General Individual - $35.00 / yr
Family - $50.00 / yr
Names _________________________________________

Artist Medium__________________________________________

Student - $10.00
School________________________________________________

Mediums interested in____________________________________

Charter No annual dues

Membership period runs from January 1st to January 1st

The Payson Art League exists, thanks to the time and effort of our volunteers. The more we all participate, the stronger and more successful our league will be. Please complete page 2 (requirements)of this application. (Page 2, Membership Application Requirements - Click Here)