Application for Membership
Renewal
New Member
Name
First Name
Last Name
Email
example@example.com
Website
Your website URL
Instagram
@example
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about us?
i.e. Website, Instagram, Exhibit...
I can help with
Newsletter Editor
Email Communications
Program Assistant (AV support/backup for set up)
Shows
Website Editor
Other
Please share your art related goal for this year:
Name I will use for PayPal, Venmo or Zelle IF DIFFERENT than directory:
Full Name
Email I will use for PayPal, Venmo or Zelle IF DIFFERENT than directory:
example@example.com
How I will be paying:
I will pay via PayPal (for Credit/Debit Cards)
I will pay via Venmo
I will Zelle payment to: NWCSpayments@gmail.com
I will send a Check (use link below)
Checks
:
Download Application Form
Thank you!
Submit
Should be Empty: