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Membership Form

Palisade Art Lovers Membership Form - Print this page.

Complete the form with payment to Palisade Art Lovers and mail to:

Palisade Art Lovers
P.O. Box 295
Palisade, Colorado 81526

For Questions : e-mail  pbas2011@gmail.com or liseham@juno.com

Palisade Art Lovers meets the first  Wednesday of each month, through May. For more details go to the meeting page

Date___________________

Name____________________________________________________________________

Address__________________________________________________________________

City, State, Zip____________________________________________________________

Phone____________________________Cell____________________________________

Email____________________________________________________________________

1 Year Membership is $20 per person.

Amount Included $_________ Membership Year____________