To become a member, please print,
fill out and return this form to:
Arts at Hayfield
P.O. Box PSU
Lehman, PA 18627


Membership Categories
(Please Circle One)

Individual Annual Membership

Individual Lifetime Membership

Family Annual Membership

Family Lifetime Membership

Business Annual Membership

Name:  _____________________________________
Address:  ___________________________________
City, State, Zip:  ______________________________
Phone:  ____________________
E-Mail:  ____________________
Amount Enclosed:  ____________________

Date: ____________________

Please send a check or money order
made payable to “Arts at Hayfield”.