Livingston Arts Association
Livingston, New Jersey

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Becoming a Member

To become a member, cut and paste the following form, fill it out and mail it to the Membership Secretary with a check.

LIVINGSTON ARTS ASSOCIATION, LIVINGSTON, NEW JERSEY
           
REGISTRATION FORM

                                     


LAST NAME_____________________________________FIRST___________________________________
 
ADDRESS_______________________________________ZIP_____________

Phone    Home_____________________   Work______________________  Cell_________________________

EMAIL__________________________________________________________   
           
 

Dues: From September 1st to August 31 next year
$25.00 Single Membership _______
$28.00 Family Membership _______
$8.00   Student Membership (18 & under) _______

                                                                                                                   Total Enclosed: $_______________
 
MAKE CHECK PAYABLE TO:  LIVINGSTON ARTS ASSOCIATION

Send Payments to:
For Adults:      Sheila Writt, 45 E. Cedar St, Livingston, NJ 07039
For Students:   Harriet Hiller, 35 Prospect Road, Livingston, N.J. 07039.