MEMBERSHIP FORM

DATE:———————————

NAME;—————————————————————-

ADDRESS;———————————————————

PHONE#;————————————————————--

EMAIL ADDRESS;————————————————-

WEBSITE ADDRESS———————————————

ART EXPERIENCE————————————————

How did you learn about the Ozark Pastel Society?———-

My talents would best be Utilized in the area of: Circle the ones you would be interested in:

Please mail application and funds to: Ozark Pastel Society

% Reba Cole

2252 Waverly AV

Springdale, AR  72762

Make check  payable to: Ozark Pastel Society

Dues are due each year on the 1st of January and are past due on the 31st of January .

Hospitality

President

Secretary

Newsletter

Vice President

Treasurer

Programs

Outdoor Painting

Group Painting

Group Critiques

Newsletter

Workshop (Type)