MASSENA ARTISTS ASSOCIATION
PO Box 571, Massena, NY 13662
Membership Application
Date:_______________________ Phone:______________________________
Name:________________________________________________________________________
Address: ______________________________________________________________________
_______________________________________ E-Mail:_____________________________
Type of Membership (Mark one)
Single $15.00 All Memberships are now due
Family 25.00 in September!
Student 10.00
Senior (62) 10.00
Business 50.00
Corporate 100.00
Please take a moment to answer the following questions:
What medium do you work with?__________________________________________________
Will you display your work in our shows? ___________________________________________
Are you interested in a one person show? ____________________________________________
Can you attend monthly meetings? _________________________________________________
Can you work on shows? _________________________________________________________
Are you interested in “Tips & Techniques” at our meetings? _____________________________
What type would you like to see? Speakers? Demos? Films? Discussions? _________________
What can the Massena Artists Association do to serve you better? ________________________
_____________________________________________________________________________
Please return your check to the Association
Any questions? Call Dorothy Badger at 769-557l or Cecilia Dewey at 769-6210
