Membership form

Membership Fees
Student
$25 per year
Senior
$25 per year
Regular
$35 per year
Family
(2 persons-1 address)
$60 per year
Supporter
$100 per year
Advocate
$500 per year

Patron
$1,000 per year

Membership Form

Print this page. Fill in all information.
Check the boxes for the information you want included on the Membership Roster.
Return with your membership fee, payable to Long Beach Arts.

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Artist's Name

________________________________________

Membership Level & Fee

________________________________________

Specialty

________________________________________

Address

________________________________________

City, State, Zip

________________________________________

Telephone

________________________________________

Web Site

________________________________________

Email
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Long Beach Arts · P.O. Box 948 · Long Beach, CA 90801
Tel: (562) 435-5995 · Email: Contact Us!