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| WOODBURN ART CENTER ASSOCIATION - MEMBERSHIP APPLICATION |
| Name: |
| Address: |
City: |
St: |
Zip: |
| Phone Number(s): |
| Email Address: |
| MEMBERSHIP SELECTION |
| |
Check one |
Fee |
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| -Individual Membership: |
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$25 |
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| Family Membership |
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$35 |
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| Youth Membership (under 18 yrs.) |
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$10 |
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| Business: |
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$40 |
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| - |
Total Amount Enclosed |
$ |
| Please print out this form, complete, enclose check payable to the Woodburn Art Center and send to 2551 North Boones Ferry Road, Woodburn, OR 97071. You will receive your membership card, benefits and handbook within a few days. |
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