Idaho Chapter of
Heritage Artist

    

 

 

 

MEMBERSHIP APPLICATION       
IDAHO  HERITAGE ARTISTS
NAME_______________________________________________________________________________ 
                First                                                       Last
 
ADDRESS______________________________________________________________________
STREET                                                                        CITY        STATE      ZIP
 
 
PHONE                                         WORK PHONE _____________________________
E MAIL ADDRESS
_______________________________________________________________
Birthday (Month/day)_______                             SDP#
Annual dues are $15 if paid before Dec. 1st for the following year. 
Please make checks payable to IHA and mail to: 
 
 

 

Idaho  Heritage Artists
Currently meeting at Health Insurance Associates - 360 Caldwell Blvd Nampa ID
Pat Marler, President
Glenice Powell, Webmaster  ichawebmaster@gmail.com

© TTWS