New membership applicationNAME ____________________________________________POSTAL ADDRESS_______________________________________________________________________________________________________TELEPHONE NUMBER (HOME)_______________________CELLPHONE NUMBER ________________________________FAX ________________________________________________E-Mail _______________________________________________Artist/ or artlover_________________________________Medium:_________________________________________Membership fees: R150 per annumPlease contact Ilona : 082 893 6718or Annemarie : 083 564 1817for more information:cpetzer@soft.co.za
Bank Details: Absa Nelspruit, Laeveld Kunsvereniging
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