To join the FQA for one year, please print off and complete this form and send it with a tax-deductible contribution (we ask for US $25, but any amount will do) to:
Fellowship of Quakers in the Arts (FQA)
1515 Cherry Street
Philadelphia, PA 19102
Name_______________________________________________________________________
Address______________________________________________________________________
City__________________________________________State________Zip________________
Phone(s), Fax_________________________________________________________________
email_______________________________________________________________________
Quaker affiliations: Monthly Meeting___________________________________________
Yearly Meeting______________________Other_____________________________
Membership: Individual______ Group ($50 or more)______ Amount enclosed____________
____Please include me/us in the next edition of the FQA Directory
____Please link to my/our web page on the FQA web page, http://www.quaker.org/fqa
URL:________________________________________________________________________
How did you hear about us? Brochure, Friends Journal, T&S, Website, Lemonade Gallery, Other__________________________
Art media (specify subgenres if desired):
Visual _______________________________________________Literary ______________________________________________
Music ________________________________________________
Performing Arts ________________________________________
Other media and interests___________________________________
Please write a brief (max 50 words) description of your work for the directory: