friends of artists equity

Friends of Artists Equity

MEMBERSHIP APPLICATION

		Dual Membership (AE members only): $30 annual dues

		FRIEND: $40 annual dues

		Exceptional FRIEND: $100 annual dues

		Extraordinary FRIEND: $250 annual dues

		Phenomenal FRIEND: $500 annual dues

		Perfect FRIEND: $1,000 annual dues

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NAME
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ADDRESS
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CITY
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STATE
____________________________________________ ZIP________________

PHONE(w/area code)
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FAX (w/area code)
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E-MAIL ADDRESS
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Please make your check payable to "The Friends of Artists Equity" and mail with your completed application to:

Friends of Artists Equity
PO Box 804
Wayne, PA 19087

(Your membership is tax deductible to the extent provided by law)