Membership year is from January 1st - December 31st. 
Title: Mr.    Mrs.    Ms.    Mr. & Mrs.    Dr.                             Membership Renewal ? YES   NO

Name:
Address:
Parish:          Postal Code:
Telephone: (Day) (Evening)
Cell: E-mail:   

To help us learn more about our membership base and for immigration purposes, please check the appropriate boxes:
Are you Bermudian? YES   NO   Are you a practising artist? YES   NO   If you answered YES, what medium?
Call me about volunteer opportunities: