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Phila/Tri State Artists Equity Association

MEMBERSHIP APPLICATION
for the Year June 1 2008-December 31, 2009

Print and Mail this form to the address below.

   
Member : $40 annual dues
Joint Members : $60 annual dues (two members, same address)
Member over 65: $30 annual dues (65 and over)

 
   
   
   
     
     
   

(please note: Dues do not include membership in National Artists Equity Association, with whom we are not longer affiliated)


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NAME _________________________________________________________________

ADDRESS _________________________________________________________________

CITY _________________________________________________________________

STATE ____________________________________________   ZIP________________

PHONE (w/area code) _________________________________________________________________

FAX (w/area code) _________________________________________________________________

E-MAIL ADDRESS _________________________________________________________________

PRIMARY MEDIUM(S) _________________________________________________________________

WEB SITE URL
_________________________________________________________________

 

All dues must be paid prior to the entry date to enter exhibits and to receive other benefits. Please Note dues do not include membership in National Artists Equity Association. Membership is not transferrable.

Please make your check payable to
"Phila/Tri State Artists Equity Association"
and mail with your completed application to:

Philadelphia/Tri State Artists Equity
22 Laurelgate Place
Millersville, PA 17551


(Contributions or gifts to Philadelphia/Tri State Artists Equity Association, Inc.
are not tax deductible as charitable contributions. However, they may be tax deductible
as ordinary and necessary business expenses.)

© 2002-2008 Philadelphia/Tri State Artists Equity Association, Inc.