Yes, I would like to join the CAA!
Please
print the following form and mail it to:
The Cooperstown Art Association
22 Main Street
Cooperstown, NY
13326
Name________________________________________
Address_______________________________________
_____________________________________________
Phone(Home)__________________________________
(Work)________________________________________
Email_________________________________________
Website Address________________________________
Types of Membership
(Please check one)
Full-time student...............................................$5.00
Individual........................................................$20.00
Family.............................................................$30.00
Contributing.....................................................$75.00
Patron...........................................................$150.00
Supporting.....................................................$250.00
Benefactor.....................................................$500.00
Are you currently a member?_________________
Have you been a member before?_____________
Are you an artist?__________________________
Are you a craftsman?_______________________
If so which medium?________________________
Amount of membership______________________
Amount of additional donation________________
Scholarship contribution______________________
Total enclosed______________________________