FPAL MEMBERSHIP FORM
NAME______________________________________________________________________
ADDRESS__________________________________________________________________
TELEPHONE NUMBER______________________________________
E-MAIL ADDRESS______________________________________
SIGNATURE_____________________________________ Date _______________________
Please check appropriate box
__RETURNING MEMBER Membership fee $25.00
__NEW MEMBER Membership fee $25.00
Tell us something about yourself:
Do You Teach? (Yes/No). Are you interested in doing a Demo? (Yes/No).
Media(s) ______________________________________________________________________
Focus (landscapes, still-lives, Modern, etc. ) __________________________________________
Training _______________________________________________________________________
Major Awards Won ______________________________________________________________
Other _________________________________________________________________________
______________________________________________________________________________
Mail to Floral Park Art League, P.O. Box 72, Floral Park, NY 11002,
with a check payable to “The Floral Park Art League, Inc.”
NAME______________________________________________________________________
ADDRESS__________________________________________________________________
TELEPHONE NUMBER______________________________________
E-MAIL ADDRESS______________________________________
SIGNATURE_____________________________________ Date _______________________
Please check appropriate box
__RETURNING MEMBER Membership fee $25.00
__NEW MEMBER Membership fee $25.00
Tell us something about yourself:
Do You Teach? (Yes/No). Are you interested in doing a Demo? (Yes/No).
Media(s) ______________________________________________________________________
Focus (landscapes, still-lives, Modern, etc. ) __________________________________________
Training _______________________________________________________________________
Major Awards Won ______________________________________________________________
Other _________________________________________________________________________
______________________________________________________________________________
Mail to Floral Park Art League, P.O. Box 72, Floral Park, NY 11002,
with a check payable to “The Floral Park Art League, Inc.”
