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     Visual Arts Association of Livonia

 

 

                                                              MEMBERSHIP APPLICATION
                                           
(Print this page and mail to address below)

                                  Fee:  $25           [  ] New Member            [  ] Renewal
                                     
Membership year:  From January 1 to December 31

Name:____________________________________________________________________

Telephone:  (_____ )_________________________________________________________

Address: __________________________________________________________________

__________________________________________________________________________

E-Mail address: ____________________________________________________________
                                 
                                   Checks should be made payable to VAAL

PLEASE INCLUDE A STAMPED, SELF-ADDRESSED ENVELOPE AND MAIL TO:

                  Diana Jamrog   ▪  15722 Woodside ▪  Livonia, MI  48154