National Black Arts Festival 1998

MEMBERSHIP APPLICATION

To become a member, simply print out this form (select "PRINT" from your browser's menu), fill it out and mail or fax it to us.

Type of Membership desired: ______________________________________

Name: _________________________________________________________

Address: _______________________________________________________

City/State/Zip: __________________________________________________

Telephone: ( ) _____________________ FAX ( ) ______________________

Method of Payment: ___ Check ___ Money Order ___ VISA/Mastercard

Credit card number: ___________________________________________ Expiration Date: _________________

Signature: _________________________________________________________

After printing out this form fax it to: (404)730-7104 or mail it to:

NBAF Membership
236 Forsyth Street SW Suite 400
Atlanta, GA 30303

Thank you for joining us in this exciting celebration!!!
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