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 Society of Decorative Painters
2008 Chapter Membership Application for Heart of the Umpqua Artists

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(Fill in this form, print it out and mail it to the address at the bottom of the page.)

Name:

Business Name:

Address:

City, State, ZIP:

Email Address:

National Membership #:

Home Phone:

Fax Number:

Birth Date:

(Spouse’s Name):

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Please select one (check/cash):

Are you a teacher?:

Individual Membership - $20:

Is this a new address?:

Is this a renewal?:

Business Membership - $20:

Dues are not prorated. Membership fees are for the current calendar year if received prior to September 1. After October 1, dues are processed for the following calendar year. You must be a member in good standing of SDP, to join the Heart of the Umpqua Chapter. Please enclose a self-addressed, stamped envelope with your payment and form to insure return for your membership card.

Please make your checks payable to: Heart of the Umpqua Artists and send it to:

Helen Fortner, Membership, P.O. Box 642, Canyonville, OR 97417