Membership Application Form

Membership Application
New MemberMember Renewal
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Home Phone*
Format: (000) 000-0000.
Cellphone
Format: (000) 000-0000.
E-mail*
example@example.com
Website
Please provide a brief description of your work
WebsiteExhibitionsEventsSocial MediaFriendPrintmakingOther
In addition to your membership fee RAA greatly appreciates & welcomes the input & involvement of our members.

Please check your areas of interest below and we will contact you when the corresponding committee members meet or programs are planned.
ExhibitsFundraisingEventsArt ClassesPerformancesPrograms for Children
Individual $50Family* $75
*A family membership consists of 2 adults and any number of children under 18.
2nd Adult Family Member Name
2nd Adult Family Member E-mail
example@example.com
Calculation
Total*

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