Membership Form

Membership

TENNESSEE ALLIANCE FOR ARTS EDUCATION MEMBERSHIP FORM
Join us in putting the power of the arts to work for Tennessee and every Tennessee student.

Name (First):

(Last)

Occupation or Title:

Organization:
(if applicable)

Mailing Address:

City:

State:

Zip:

Daytime Phone:

Home Phone:

E-Mail Address:

Fax Number:

A current e-mail address is important. Most communication is done electronically including our TAAE newsletter.

Membership:

Individual $25

Organization (includes two individual memberships) $45

Please consider a tax-deductible gift to the Tennessee Alliance for Arts Education

$50

$100

$250

$500

(Your dues and gifts are tax deductible.)

Please mail your check to:

Tennessee Alliance for Arts Education
CompanyAddress
Chattanooga TN 37405

For More Information Contact:
CompanyLongName
CompanyAddress, Chattanooga, TN 37405
Tel: CompanyPhone
FAX: CompanyFAX
Email: rodneyvv@alliedartschattanooga.org
Copyright 2005 Tennessee Alliance for Arts Education