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MEMBERSHIP FORM

* Asterisk denotes required information

Name *
Home *
Work
Cell
Address *
City *
State *   Zip *
E-mail *
 
Please select your level of support: *

$20.00 Student     $20.00 Senior (65+)
$30.00 Individual     $30.00 Senior Couple
$40.00 Family     $40.00 Not For Profit
$50.00 Business
$100.00 Arts Supporter - 2 free tickets to any SVAN Concert – summer/winter
$250.00 Arts Patron - 4 free tickets to any SVAN Concert – summer/winter
$500.00 Arts Hero (Free admission to ALL SVAN Events) for renewal year
New Member    Renewing Member

Please check or circle all that apply regarding your interest:

Visual Arts - painting, sculpting, drawing     Woodworking     Photography
Fabric Arts    Musician/musical     Dancing/dancer     Writer
Theatre/theatrical performer     Cultural presenter/organization
Arts related Business Teacher/Educator Other (Specify)

Optional information:

Second address

City State Zip

Phone Approx # months at this address

Website address:

Art level: Non-artist     Hobbyist     Serious Amateur     Professional

Other organizations I am affiliated with:

PLEASE ENTER YOUR TOTAL FEE.
(see fees above for reference)

TOTAL: *

Please click "Next" then follow instructions to complete payment securely through paypal. You will enter your TOTAL at the paypal checkout.

 

 
 
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