Membership Form • Newington Art League

Membership dues are $25 per year for single, $35 per couple and $10 for students age 16 and up

please fill out, print and mail with your check to :

Flo Dickie

23 Frederick St.

Newington CT, 06111

name: *

address: *

phone: *

email address:

please give us your email address so we can mail you the Newsletter and other Newington Art League information

Interests:

committees I am willing to participate in:

Print, complete and mail

Newington Art League, Inc.

679 Willard Ave.

Newington, CT 06111

Send your completed form and check to:

Flo Dickie

23 Frederick St

Newington, CT 06111

Membership Form

Name: ___________________________________________________________

Address: ____________________________________________________________

___________________________________________________________

Phone: ___________________________________________________________

Cell phone: ________________________________________________________

Email: ____________________________________________________________

Single: ($25 per year ) ____________________

Couple:( $35 per year ) _____________________

Each additional family member add $10

Tax deductible donations always welcome