PRINCE WILLIAM ART SOCIETY, INC.          MEMBERSHIP APPLICATION
Please complete both sides of the form, then fold and mail to PWAS at address below.
E-Mail Address:  ____________________________________  Date:  __________
Name(s):  ____________________________________  Phone: _______________
Address1:  ___________________________________
Address2:  ___________________________________
City:  ______________________  State:  _____   Zip: _______- _____
Application Type:  New:  _____   Renewal:  _____
   Single Adult_____ Family_____  Senior_____ Sponsor_____  Patron_____
Artistic Category:
   Medium(s):  ______________________________________________________
   Subject Type(s):  __________________________________________________
   Style(s):  ________________________________________________________
Do You:  Give Lessons_____  Demonstrate_____ Accept Commissions_____
( Fold Here )

I will volunteer to assist with the following:                                   Mail to:
_____  Administrative Work                                        Membership Coordinator
_____  Art Shows                                                       Prince William Art Society, Inc
_____  Finance/Budget                                                P.O. Box 2013
_____  Fundraising                                                      Woodbridge, Va  22193
_____  Newsletter
_____  Planning Programs
_____  Printed Materials ( Signs, Flyers, posters, etc )
_____  Property Storage                                             _____  Place me where needed
_____  Publicity                                                           _____  Other ( Specify )
_____  Refreshments/Hospitality                                  ________________________
_____  Secretarial                                                       ________________________
_____  Telephone                                                       ________________________