Monroeville Arts Council
MEMBERSHIP APPLICATION
Yearly membership is valid through December 31.
NOTE: if you recently joined, your support is greatly appreciated!
Please pass this form along to someone else!
NAME _______________________________ ADDRESS ____________________________
________________________________________________________________________________
PHONE ______________________________ EMAIL _______________________________
TYPES OF MEMBERSHIP and DUES: _____ INDIVIDUAL - $17
_____ SENIOR INDIVIDUAL (55+) - $12 _____ FAMILY - $22
_____ SENIOR FAMILY (55+) - $17 ____ DONOR/SPONSOR - $50
_____ COMPANY/ORGANIZATION - $100
AREAS OF INTEREST (check all that apply):
______ Planning Events ______ Soliciting Funding _____ Membership
______ Summer Concert Series ______ Art Workshop and Planning
______ Children’s Activities______ MAC Website ______ Event Support
______ Correspondence ______ Painting , Drawing, Art Interests
______ Other: (Please specify below)
________________________________________________________
Please mail completed application and check (payable to
“Monroeville Arts Council”) to:
Membership PO Box 942
Monroeville, PA 15146
412-373-0711 or 412-856-8180 trw.695@gmail.com
MAC is a 501(c)(3) organization
Copyright © 2019 Monroeville Arts Council - All Rights Reserved.
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