2012
JEFFERSON COUNTY ART GUILD MEMBERSHIP APPLICATION
Name_________________________________________________________
Address_______________________________________________________
City_________________________________________Zip_______________
Phone______________________________Cell_______________________
E-Mail________________________________________________________
Membership dues: Participating Artist: $24.00/yr
Patron (non-participating supporter): $15.00/yr
Return To: Jane Patterson
22 Riverbluff Dr
Crystal City, MO 63019
Phone 636.937.5352 | 
