West Bank Art Guild -
 
WESTBANK ART GUILD
 
please mail application to:
Mariloy Galle
518 Oak Road
Belle Chasse, LA  70037
 
 
 
WBAG MEMBERSHIP APPLICATION for YEAR 2017-2018
 
 
NAME: ______________________________________ DATE:__________
 
 
ADDRESS:___________________________________________________
                   STREET                                                                CITY   
 
               ___________________________________________________
                   STATE                   ZIP
 
 
Telephone:     Home_______________
 
Work_____________Cell:__________
 
 
E-Mail Address:______________________________
 
Website _____________
 
Occupation: _________________________________ 
 
Company ____________
 
Membership                _____Active      $30                           ____Bronze     $100  
                                    _____Associate $30                           ____Silver        $200
                                    _____Copper     $50                           ____Gold          $300
                                                            Diamond         $500
New Member ____________                                     Renewal_____________
 
 
Note:      $5 from Membership Dues goes to WBAG Scholarship Fund.  Amounts over $25 may be considered contributions to a tax-exempt organization.  Please contact your tax advisor for information with regards to 501c3 tax-exempt organizations.
 
 
MEMBERS MUST VOLUNTEER FOR ONE OF THE STANDING COMMITTEES.
 
 
 
Would you like to be listed as an Art Instructor in our roster?
  _____Yes   _____ No
If yes, please state the medium and if classes are for children or adults.
 
     ____________________________________________________
          Medium and/or mediums                                                         children/adults
 
 
 

 
 
 
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