The Southern California Committee

 The National Museum of Women in the Arts

 

MEMBERSHIP APPLICATION

 

NAME:   _________________________________________________________

                                                                 

Nickname:  _____________________________________________________

 

Spouse:  ________________________________________________________

 

Address:  _______________________________________________________

 

City, State, Zip:  ________________________________________________

 

Home Phone:  ________________________

 

Office:  _______________________________

 

Email:  __________________________Fax:  __________________________

 

I would be interested in working on:

 

Programs __________

Events __________

Education _________ 

Trips ____________

 

I have computer skills__________. 

 

I would serve as a Board Member_______

 

Annual yearly dues are $125 from July 1 to June 30 of each year.  Your $125 dues include membership in the National Museum of Women in the Arts (NMWA) and Southern California Committee (SCC NMWA) dues.

 

Please make your check payable to SCC NMWA and return, with this form to:

 

SCC NMWA

16419 Akron St.,

Pacific Palisades, CA  90272

 

 

 

 

 

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