TALA

Membership Form

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Fill out, print, and mail to the address below.

Please choose Membership Type:

  Individual Artist      $30

  Full-Time Student   $20

  Professional           $50

  Arts Administrator                 Agent

  Attorney                             Accountant

  Non-Profit Arts Organization $125

  Non-Profit Non-Arts Organization $150

  Sponsorship

  Benefactor  $1000

  Patron $250

  Sponsor $100

Friend $50

Please provide the following contact information:

Name

Title

Organization

Street address

City

State

Zip Code

Work Phone

Home Phone

Fax No.

E-mail

Please choose a payment type:

Check: My membership or tax-deductible contribution for $ is enclosed.

Credit Card: Please charge my   MasterCard Visa

Name on Card:    

Account Number:    Exp Date:

Please print out this form and submit to:

Texas Accountants and Lawyers for the Arts
1540 Sul Ross
Houston, TX 77006
Fax: 713.526.1299

Thank you for joining TALA!

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For Office use ONLY:

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