Weehawken Creative Arts Membership Form

Name:  

Type of Membership

Student $10   Individual $25     Family $40    Supporter $100

Patron $500   Benefactor $1000    Saint $2000

Mailing Address

Phone Number       

               E-mail

                 Date:  

               Payment by:       Check: Make checks payable to WCA
                                                           Mail to: WCA, PO Box 734 Ridgway, CO 81432

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