Left Bank Art League

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(Please print form first, then complete and mail to address below.)

 

PLEASE NOTE AS OF DECEMBER 3, 2018 - MEMBERSHIP DUES ARE NOT BEING COLLECTED FOR 2019.  SEE 'NEWS' IN THIS WEBSITE FOR MORE DETAILS.


2019 Left Bank Art League

Membership Form

 

Name _____________________________________

 

Address ____________________________________

__________________________________________

 

City _______________________________________

 

State/Zip ___________________________________

 

Email ______________________________________


Medium (most used) ____________________________

 

Individual membership = $25.00/yr.

Household membership= $40.00/yr.

** Annual Special Sustaining Membership= $50.00/yr.

Additional donation:   __________

 

Send to:

LBAL - Treasurer

PO Box 1406

Moline, IL  61266


** This level directly supports funding for our scholarship programs - consider this level to help LBAL maintain our scholarships and support young artists pursuing their art careers!