Membership Application

Single Senior/Student/: $20

Individual: $35 (includes all members of the household)

Business $100

Personal Information
Name:	Company:	E:Mail:
Address:	Phone:
City:	Zip:		PRINT THIS PAGE
YES! I would like to help. Please contact me about volunteering
I am an Artist

Make check payable to: Cloverdale Arts Alliance

Send payment to:

Cloverdale Arts Alliance

P.O. Box 446

Cloverdale CA 95425.