Join

Dedham Art Association Membership Enrollment 2019-2020

Please click here to access the membership form:

Or:

Cut and paste the information below and email to: DedhamArtAssociation@gmail.com

Membership Enrollment – Please Print

Please enclose this form with your membership enrollment dues of $25 payable to:

DEDHAM ART ASSOCIATION

(Credit cards and PayPal also accepted plus $3 processing fee.)

Mail to: Treasurer, Dedham Art Association

67 Shiretown Road

Dedham, MA 02026

Date: _______________________________________

Name: _________________________________________________________________________________________________

Address: _______________________________________________________________________________________________

Telephone: _________________________________________ Cellphone: _________________________________________

Email: _________________________________________________________________________________________________

Your website if you have one:____________________________________________________________________________

If you are an artist, what is your medium(s)? ______________________________________________________________

How did you hear about the Dedham Art Association? _____________________________________________________

Do you give DAA permission to include your phone number in a Members’ List that will only be accessible to members? _____Yes _____ No

Please check off areas where you can lend a hand:

Note: additional $3 processing fee for credit cards and PayPal, thank you.

To pay by credit card, please enter:

Name on Card: ___________________________________________Credit card type (Visa, Mastercard, etc.)__________

Credit card number: ________________________________________________________Expiration: __________________

Security Code: ________________Amount Paid: _______________________

To pay by PayPal, please use this email address: DedhamArtAssociation@gmail.com

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