MEMBERSHIP FORM 2012-2013
(Membership runs from September 1 – August 31)

_____  New         ____ Renewal  
______ Individual (one adult) - $20 
______ Couple (2 people at the same mailing address) - $25
______ Student (18 years of age and under)  $10

Name________________________________________________________

Address______________________________________________________
_____________________________________________________________

Telephone #___________________________________________________

Email Address_________________________________________________
(Check one)

___  Please add me to the FAS Email mailing list.

____  Do not add me to the FAS Email mailing list.  Use my email address for individual communications only.


Please check one:  
I would like to help FAS save costs of copying and mailing by reading the Newsletter and downloading forms for shows on line at the FAS website.  Do not mail a paper copy to me.__________
I prefer to receive my information via the U.S. mail.  Please mail paper copies to me.__________

Send a check or money order with this completed form to 
FREEHOLD ART SOCIETY, P. O. BOX 6993, FREEHOLD, NJ 07728

FREEHOLD ART SOCIETY  MEMBERSHIP DUES