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Louisiana Watercolor
Society |
Mail To:
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roster:_____________________________________________________________________________
Address:___________________________________________________ City:____________________________________ State: _______ Zip: _____________ Phone: _______________________ Cell Phone:____________________________ E-mail address: ______________________________________ Send my newsletter to this email: ___________________ Yes Web site:____________________________________________ Do you want to be listed as a teacher?_______ (Provide details.) _____________________________________________________________________________________ Annual Dues (January 1): ___New $25___$12.50(after July 1) ___Renewing $25 ___International $30 USD ___Patron $100 ($75 may be tax deductible) ___ Lifetime Membership $250 ___Lifetime International $300 USD ___ We invite you to volunteer. Please indicate your preferences. ___LWS Board ___Exhibits ___Awards ___Newsletter ___Hospitality ___Publicity ___Telephone ___Paintouts ___Programs Include me in mailing lists requested by art related companies that support LWS. ___YES ___NO
Signature:__________________________________________________________________Date:___________________ |
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