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Membership

Print and mail the completed form to Pat O'Neill, 
7526 Candis Drive, Charlotte, NC 28212-7116

Name: 

Street:

City, State, Zip: 

Phone: (Residence) 
(mobile) 

E-Mail Address: 

Art Interest & Medium: 

Memberships: (Check One)

___ Member $40

___ Patron $50

___ Corporate $100

___ Benefactor  $ 200

Membership fees are due once per calendar year.
Make checks payable to GUILD OF CHARLOTTE ARTISTS