Marbletown Arts Association

Application for Membership

Name: _________________________________________

Address: _______________________________________

City, State, Zip: __________________________________

Phone: _________________________________________

email: __________________________________________

Particular area of interest(s)/artistic field(s) : __________________________

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Comments/suggestions: ___________________________

Please send this application along with an annual dues check for $25 for single membership or $40 for a couple to:

Marbletown Arts Association
PO Box 65
High Falls, NY 12440
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