Dues are $20.00 Write check payable to MAPTA
Forms received after September 15th will not be included in the directory.
Print and send this form with your dues to:
Catherine Anwar , Treasurer 8379 N. Grandview Dr. Brown Deer , WI 53223
Please type or print clearly.
Name: _______________________________________________ Phone: ___________________________________
Last First Home Work
Address:____________________________________________________ Zip _____________
E mail Address: _________________________________________ Preferred telephone contact time: _______________
Studio or School: ____________________________________________ Phone: _________________________
Address: ________________________________________________________________
====================== Educational Background =======================
School, College, University Degree Year
_______________________________________ ______________________ _______________
_______________________________________ ______________________ _______________
How did you first hear about MAPTA? _____________________________________________________________
_____________________________________________________________
What would you like to see featured at future meetings?
________________________________________________________________________________________
________________________________________________________________________________________ 2008
Signature __________________________________________________ Date ___________________________
Catherine Anwar
8379 N. Grandview Dr.
Brown Deer, WI 53223
If you have any questions, please contact
Rebekah Morin [email protected]