LAMOINE COMMUNITY ART
MEMBERSHIP FORM
YES? I want to support community participation in the arts in Lamoine!
(A COPY THAT YOU CAN PRINT OFF AND MAIL IN IS ON THE NEXT PAGE,
"MEMBERSHIP INFORMATION")
NAME(S)_______________________________________________________________________
ADDRESS:______________________________________________________________________
TOWN & STATE:________________________________________________________________
TELEPHONE:__________________________CELL PHONE:____________________________
e-mail:_________________________________________________________________________
Membership contributions consist of a
$20 "Basic Membership," a $50 "Supporting Membership" or any "Other" amount you would consider, all donations and membership are appreciated.
Interest in participating activities with LCA can be made on the form on the next page; "Membership Information".
Membership checks may be made
payable to 'Lamoine Community Arts' and mailed to; Carol Duffy, 1108 Shore Road, Lamoine, ME 04605.