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Membership Application and Renewal Form

Enclosed is my membership fee for the fiscal year September through August 20__

_____ Adult membership, $35 (If paid after November, include late surcharge of $5)

_____ Student membership, $20 (Age 18 - 26, full-time student)

Name ____________________________________________________________

Address __________________________________________________________

_________________________________________________________________

(Home Phone) ______________________________________________________

(Work Phone)_______________________________________________________

e-Mail ____________________________________________________________

RAL is a volunteer organization. Please check the committees on which you would be willing to serve:

Committees

_____ Monthly Programs _____ Publicity/Marketing

_____ Refreshments _____ Telephone

_____ Shows _____ Newsletter

Please make check payable to Rockville Art League and mail check and application form to:

Susan Dunnell
11215 Dewey Road
Kensington, MD 20895