Saint Joseph Arts Membership Application

MEMBERSHIP APPLICATION 2008 - 2009
Please Print and Mail to P.O. Box 409
St. Joseph, LA 71366

NAME:

ADDRESS:

CITY: STATE: ZIP:

TELEPHONE: EMAIL ADDRESS:

LEVEL OF MEMBERSHIP DESIRED

Subscribing - $60 Bronze - $100 Silver - $200

Pearl - $300 Gold - $500 Platinum - $1000

Emerald - $2000 Diamond - $3,000

Please Bill Me

Please bill my Visa MasterCard
Card # Exp. Date: Mo. Yr.
CID # on Back of Card

IF YOU HAVE PROBLEMS WITH THIS FORM, PLEASE CALL OUR
OFFICE AND PLACE YOUR ORDER DIRECTLY
318-766-3344
THANK YOU!!!

We accept MasterCard and Visa!

By submitting this form, you are requesting to be put on our membership roster at the level that you have chosen above. The amount connected with the level you have chosen can be billed to you at the address you listed above, or you may pay instantly and securely through PayPal. When Saint Joseph Arts, Inc. receives your payment, your membership packet will be mailed to you, entitling you to the benefits of the level selected.

If your browser does not support forms, you may email your request to stjoarts@stjoarts.com