Membership Application and Renewal Form

New Member_____ Renewing Member_____ Change of Address_____ Phone_____ E-mail________________

Name (Please Print): ______________________________________________ Date: ____________________

Address: ________________________________________________________________________________

City: __________________________________________State: _________Zip code: ____________

Telephone: (home) __________________________ (cell) __________________________________

E-MAIL: ____________________________________ Website: _____________________________

PBWS operates on the basis of volunteers. Our members are encouraged to assist with various activities

 as well as serve on or chair committees.

I would like to help with (please check):

Communications ____ Computer ____ Exhibitions____ Historian ____ Hospitality ____ Mailings ____

Membership____ Newsletter____ Paint-In’s____ Programs____ Publicity____ Receptions____

Workshops____ PBWS Board____Other___________________________________________________

Annual dues are in effect from May 1st to April 30st. Membership dues must be up-to date in order to be eligible to submit entries for shows, participate on committees, and serve on the PBWS Board.

Dues: Single Membership $40.00 ___ Family Membership $55.00 ___ Lifetime $250.00 ____

The PBWS Newsletter is normally sent by e-mail. Annual charge for Newsletter mailed: $10.00____

Total Payment: $_________ Check: _________ Credit card: _________ Cash: __________

Please complete the above information and submit the form with your payment. Make checks

payable to: Palm Beach Watercolor Society.

Mail to:

Marjorie Feldman

PBWC Membership

12616 Coral Lakes Drive

Boynton Beach, FL 33437

For further membership information, contact:

Su Phelan: (347) 563-3185

Marjorie Feldman: (561) 523-1160