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MEMBERSHIP APPLICATION
THE MUDDY RIVER ART ASSOCIATION, INC.
P. O. Box 178
CLEMMONS, NC 27012
NAME: ____________________________________
(Please Print)
STREET: __________________________________
CITY: ____________________________________
STATE: _________________ ZIP: _____________
PHONE (H): ________________________________
PHONE (W): _______________________________
PHONE (OTHER): __________________________
E-MAIL: ___________________________________
(NOTE: NAME, ADDRESS, PHONE AND E-MAIL INFORMATION WILL NOT BE USED FOR ANY PURPOSE OTHER THAN LEGITIMATE COMMUNICATION WITH YOU AND WILL NOT BE SOLD, LEASED, GIVEN OR LOANED TO ANY OTHER ENTITY)
ARTISTIC MEDIUM: ________________________
I AM INTERESTED IN:
(A ) STANDARD MEMBERSHIP ($25/YR): ________
(B ) STUDENT MEMBERSHIP ($15/YR): __________
(You must be under 25 years of age and a full-time student in a school or college)
(C ) SPONSORSHIP ($25/YR AND UP) ___________
I AM INTERESTED IN HELPING TO PLAN OR PRODUCE EXHIBITIONS OR OTHER EVENTS:
YES ( ) NO ( )
I AM INTERESTED IN ENTERING EXHIBITIONS:
YES ( ) NO ( )
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THE MUDDY RIVER ART ASSOCIATION, INC.
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To apply for membership, please copy the form, fill it out and mail to The Muddy River Art Association, Inc. P. O. Box 178, Clemmons, NC 27012. Please enclose your check or money order, made payable to The Muddy River Art Association, Inc.
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Membership Benefits:
The Clemmons, North Carolina area is one of the most affluent and fastest-growing regions in our state. Art deserves a presence here. The Muddy River Art Association, Inc. was created to encourage cooperation and artistic exchange among artists and others engaged in artistic activities, promote appreciation of the arts, hold art exhibitions, competitions or performances, and promote the study and improvement of the arts, especially in the Clemmons region of the State of North Carolina.
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