Membership Application and Renewal Form

Enclosed is my membership fee for the fiscal year September through August 200_

_____ Adult membership, $30

_____ Student membership, $15 (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:

Jackie Hoysted
15224 Jones Lane
Gaithersburg, 20878