Green Arts Council Membership
Form
Date: ______________________
Name:
___________________________________________________________________
Mailing
Address:
_______________________________________________________
________________________________________________________
Email Address:
_____________________________________________
Telephone: _____________________________________
Membership
Level: _____________________________
Choose from:
Individual: $15
Family: $25
Student
or Senior: $10
Business:
$50
Special
Friend:
$100
Please make your check payable to Green Arts Council,
and mail to:
Green Arts Council, P.O. Box 704, Green, OH 44232.
Thank you! For more information contact: Lisa Shiner, President, 330-896-8618