IPAPA Membership Form

IPAPA’s membership year runs from January to December.

Please print form and mail form and payment to:
IPAPA
P.O. Box 551075
Indianapolis, IN 46205-1075

Make check or money order payable to IPAPA as we do not accept payments online.

I wish to become a member of the Indiana Plein Air Painters Association, Inc. at the level indicated:

___Artist Member - $25.00 __Patron Member - $30.00 __Full Time Student (HS and College) $10.00 ___ Lifetime Member - $250

First Name	* _____________________________________________________________________________________________
Last Name	* _____________________________________________________________________________________________
Street Address	* ____________________________________________________________Suite # or Apt # ____________________
City	* __________________________________________________________State________________Zip___________________
e-Mail Address	_____________________________________________________________________________________________________ Please respond to e-mail invitation from Yahoo Groups to join e-mail list
My Phone:	* ____________________________________________________________
* Required Information