Please review the FSWS General Information on the reverse side and if acceptable, please complete this application and send it, along with your check for $35 payable to FSWS to:
Roger Parent, FSWS Membership Coordinator
448 East MacEwen Drive, Osprey FL 34229
APPLICATION FOR MEMBERSHIP (Please Print)
Name ___________________________Phone (___)___________
Address_______________________________________________
City/State ___________________________ Zip ______________
email__________________________________________________
_____ Yes, I would like to be contacted to learn how to have a page in the Artist’s Gallery on the website.
Please use the space below to tell us a little about you, your artistic background and your work. If you would be interested in participating on one of our committees, please indicate by circling one or more of the following:
PUBLICITY, HOSPITALITY, EXHIBITION, MEMBERSHIP, HISTORY or as an OFFICER.
_____________________________________________________
____________________________________________________________________________
Signed _________________________________________ Date__________
FOR FSWS USE ONLY:
Dues Paid _____ Check # _____ Date _____
Payment sent to Treasurer _____ Date _____
Notice sent to NL Editor _____ Date _____
Added to Member Roll _____ Date _____
Added to Website Gallery _____ Date _____