Before
using this form for renewal, check your membership status,
click on membership, then click on the Associate Member button on the
left,
to check if you have already paid. At the end of each month, an updated list
of associates in good standing is posted on the Associate Member list.
Please use the due postcard for renewal, it will be stamped paid and returned
to you.
THE ALLIED ARTISTS OF AMERICA, INC. ASSOCIATE MEMBERSHIP REGISTRATION Please Print Clearly NAME: _____________________________________________________ ADDRESS: __________________________________________________ CITY: ________________________STATE: __________ZIP __________ PHONE#: ____________________ Renewal __________ New _________ SIGNATURE: ________________________________________________
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Enclose $40.00 check for Annual Dues, payable to Allied Artists of America
MAIL THIS APPLICATION TO:
Lucille Berrill Paulsen
Chairperson, Associates
958 Cobb Road West
Water Mill, NY 11976