Membership Form

LAA Membership Application

Lakeland Art Association, Inc. Membership Year_______________
302 E. Winona Ave. Warsaw, IN 46580

lakelandartassociation@gmail.com www.lakelandartassociation.org
face book: Lakeland Art Association

Please Print:

Name: _______________________________________________
Phone:____________________ Address:_____________________________________________City:_____________________________State:_____Zip:______
Age (please circle one)      18 or younger     /    over age 18
Email/Web Address: _____________________________________ Art Media Interest(s): ___________________________________________________

___________________________________________________

Lakeland Art Association Membership Information:

Challenge your creative spirit by becoming a member of the Lakeland Art Association, Inc. A LAA membership is your ticket to staying current with the visual arts in our community. You will be notified of planned exhibitions and events that will enrich your world and challenge your expectations. Our e-newsletter will keep you up-to-date on everything LAA is doing…plus you will gain the satisfaction of advancing Kosciusko County’s growing visual arts community. Join LAA…your source for today’s art! Your participation makes our possibilities endless. When you receive your membership packet an individual information form will be included for you to return.  It will list in detail the various activities available to members and you can indicate your interests.
Date Paid:________________ Amount Paid: ________________ Cash ________________Check # ________________
(circle one)       New          /          Renewal
Received by: ___________________________________________________

Annual Membership Fees

Student Membership – $15.00
Individual Membership – $30.00
Family Membership – $50.00
E-newsletter free to members……Annual newsletter mailing fee – $5.00 ____


Your Receipt :
Date Paid: _____________  Amount Paid: ______________
Cash: _____________ Check # _______________
(check one)    New  / Renewal     Received by: ___________________________________________________
Lakeland Art Association, Inc., 302 E. Winona Ave, Warsaw, IN 46580 — (574)267-5568
Hours are Wednesday – Saturday, 11:30 – 4:30 pm—-Free art programs the 4th Monday each month at 7 pm

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