RAY COUNTY COMMUNITY ARTS ASSOCIATION MEMBERSHIP FORM

Print this FORM to send with your donation

Student  $2.00_________ Individual $10.00 ______ Associate/Couple$15.00________
Patron/Business $25.00_______ Sustaining $50.00_______ Benefactor $100.00 _______

Name________________________________________Date__________________
Address________________________________________Phone:__________________
E-mail:______________________________________________________________
Do you wish to receive snail mail newsletter  __________
OR
e-mail newsletter____________
(check one)
Renewal:__________New Member____________
Membership dues are due and payable yearly
Check the date on your newsletter label

You may mail this form with your generous donation to
RCCAA
PO BOX 243
Richmond, MO 64085

Current Members List

HOME