Tri State Sculptors-- Membership Form

Tri-State
Sculptors

Tri State Sculptors

Membership Form

Emily Reynolds

14312 Mill Creek Drive

Montpelier, VA 23192

artsource2@earthlink.net

Annual membership is from
January 1 through the December 31st
Dues are $ 35 per year*

Please make checks payable to: Tri State Sculptors

Name:

Address:

City, State, Zip:

Phone #(s):

E-mail(s):

Please check one:
New Member
Renewal
*Hardship [$20]

*Student [$ 20] Please send a copy of your school I.D.

Supplemental payment for TSS Scholarship fund: $

Total Enclosed:

Check #:

Download a PDF of the Membership Form

Tri-State Sculptors

Tri-State
Sculptors