Individual Member Form
Pay By Check

Individual Member Form
(Pay By Check)

Individual members are community people who support the mission and values of AFHS-M Inc., and have an interest in participating in the many educational events and other activities of AFHS-M Inc.
PLEASE FILL OUT ALL REQUIRED FIELDS.

Essential Info

Please send check in the amount of $15.00 to this address and write invoice number on check in the memo section.

Arts For Health Sarasota-Manatee
7727A Holiday Drive
Sarasota, Fl. 34231
First and Last name.
Best describes yourself or business.
In the Location (address) field, if your location (address) is a private residence and wish not to have address listed in directory, then please just type in your city and zip.
If you would like to leave your private mailing address type it here. It will not be shown in the the directory.

Contact Info

http(s)://example.com or http(s)://www.example.com

Social Accounts

Drop a file here or click to upload Choose File
Maximum upload size: 2.1MB
A profile picture is required, this can be your profile picture or business logo.
When uploading a new photo:
1.) Upload new photo
2.) Uncheck the old photo
3.) Then click on Submit button
Sending