Participating Artists of the Turkeyfoot Highlands
PATH
2008 Membership Form
___________________________________________________________________________
Name(s)
___________________________________________________________________________
Business Name (if Applicable)
___________________________________________________________________________
Address
___________________________________________________________________________
City, State, Zip code
_________________________ ________________________
Home Phone Business Phone
_________________________ ________________________
Email Website
_________________________________________________________
Artistic Medium
Membership Level:
____ Individual - $15.00 ____ Family - $20.00
____ Student - $5.00 ____ Sponsor/Donation - $_________
Please make check payable to “PATH” and mail with form to P.O. Box 164, Addison, PA 15411.
Questions? Please contact Jan Upton-Lloyd 814-395-5267
All PATH members receive an enhanced listing on the PATH website www.patharts.org including a photograph. Please email a brief bio and photo of your work to Molly Hunt at artists@patharts.org for updating or inclusion.
Thank you for your support!