LVAC - Membership - Membership Form

Membership Form

Name (please print):
Business/organization:
Address:
City/State/Zip:
Telephone:
E-mail:
Website:

Annual membership (please check one):
Student($20)	Individual ($30)
Household ($40)	Nonprofit (please call for details)
Business ($100)

Tax-deductible contribution:

Enclosed is my check for made payable to the Lehigh Valley Arts Council.

I would like to (check all that apply):
Volunteer my services and time to the Lehigh Valley Arts Council.

Print and mail to:
Lehigh Valley Arts Council
840 Hamilton St. Suite 201., Allentown, PA 18101

Official registration and financial information of the Lehigh Valley Arts Council may be obtained by calling toll free (within Pennsylvania) 1-800-732-0999.