| Name | |
| Address | |
| City, State, ZIP | |
| Tel | |
| Membership Category - please check | |||
|---|---|---|---|
| Artist Members | Individual Artist | $35/year | |
| Individual Artist w/nonartist spouse | $45/year | ||
| Supporting Members | Contributor | $25/year | |
| Patron | $100/year | ||
| Benefactor | $250+/year | ||
| I would like to sponsor an event | |||

| Make check payable to Housatonic Valley Art League, send to: |
|---|
| Housatonic Valley Art League PO Box 296 Great Barrington, MA 01230 (tel: 413-528-1874) |
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