| POLISH ARTS CLUB OF TRENTON MEMBERSHIP APPLICATION | |||
| Name | ____________________________________________________________________ | ||
| Address | ____________________________________________________________________ | ||
|  | ____________________________________________________________________ | ||
| Phone | ____________________________ |  | ____________________________ | 
| Type of Membership Individual - $35 Family - $45 | _______________________________________ | 
| Comments: | ____________________________________________________________________ | ||
|  | ____________________________________________________________________ | ||