Canton Art Association Membership Form



Name_______________________________________________________________________


Address_____________________________________________________________________


City/Town_________________________________________Zip________________________


Telephone___________________________E-Mail___________________________________


Web Site Address_____________________________________________________________


Do you paint?___________Medium(s)_____________________________________________


Can we call on you to volunteer?_________________


Single Membership $20        Family Membership $30


Send your check to:


Dr. Ralph Bevivino

2 Standish Circle

Canton, MA 02021


nrebev@comcast.net

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