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JOIN FQA

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 $28, 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: