MMFAS
Membership Application

Print this Page and Mail to MMFAS

Name ____________________________

Address __________________________

________________________________

City _____________________________

State ____________ Zip _____________

Email ____________________________

Home Phone _______________________

Other Phone _______________________

Website __________________________

Medium/Interest ____________________

________________________________

Annual membership dues are:
$25 Regular, $15.00 Associate

Mail check to:
Mid-Missouri Fine Arts Society
P.O. Box 2043
Washington, MO  63090-0843