CULVER CITY A.R.T. GROUP
MEMBERSHIP APPLICATION
(ANNUAL MEMBERSHIP IS FROM OCTOBER 1-SEPTEMBER 30)
Print and fill out this form, make check payable to Culver City A.R.T. Group.
Maria Kurtz, 5248 Purdue Avenue, Culver City, CA 90230
Name
Address
City
Phone
Fax
Email
$25.00 Individual
$45.00 Family
$65.00 Business
I will be able to assist the A.R.T. Group in the following capacity:
(Please circle one or more):
PUBLICITY
MEMBERSHIP
PHONE CALLS
SPECIAL EVENTS
COMMITTEES
TYPING
COMPUTER GRAPHICS
DEMONSTRATIONS
OTHER __________
