Berea Fine Arts Club, Inc.

The Little Red School House

3232 Bagley Road

Berea, Ohio 44017

Membership Application

q       New Member

q       Renewal Membership

Artist Name:                                                                                                               

Home Address:                                                                                                             

                                            Street                                                                   City                                                 Zip Code

Studio Name:                                                                                                                           

Studio Address (if different from home):                                                                           

                                            Street                                                                   City                                                 Zip Code

Home Telephone:                                                                                                          

Cell Number:                                                                                                                 

Other Phone Number:                                                                                                   

Email Address:                                                                                                              

Web Site Address:                                                                                                       

Preferred contact method:                                                                                           

Medium:                                                                                                                       

Signature:                                                                                                                    

Date

Costs:  Membership dues are $28.00 per year.  Our fiscal year runs from July 1^st through

June 30^th.   

q       Enclosed is my check or money order made out to The Berea Fine Arts Club

For questions, please contact Membership Chairperson Lisa Nemeth at 216.570.8201 or

Northcoastpromo@hotmail.com

Please mail this form with your check/money order to:
 
Berea Fine Arts Club, Inc.
PO Box 370
Berea, Ohio 44017

Attn: Treasurer/Membership Chairperson