Community Shop Membership Application
Application Form
Personal Information
Name
*
First Name
Last Name
Birthday
*
-
Month
-
Day
Year
Date
E-mail
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Website or Social Media
Education
Highest Education Level
*
BA
BS
BFA
MFA
PHD
Other
School Name
*
Graduation Date
*
-
Month
-
Day
Year
Date
Experience
Artist Statement
Browse Files
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Printmaking Practice
*
Describe what methods you are proficient in
Years of Printmaking Experience
*
Area you would like extra knowledge in (select all that apply)
*
Intaglio
Letterpress
Lithography
Monotype
Relief
Screenprint
Other
Membership Level
Let us know what membership you are interested in
Membership Levels (select all that apply)
*
ZINC Membership
COPPER Membership
Open Studio Access
Portfolio
5 images
Image 1
Title
Year
Medium
Drawing
Painting
Printmaking
Sculpture
Mixed Media
Other
Additional Description
Optional
Dimensions (HxWxL)
inches
Upload Image
Upload a File
Image must be in JPEG format and a minimum of 300 dpi. The file you upload must be saved as: LastName_Title_image1
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Image 2
Title
Year
Medium
Drawing
Painting
Printmaking
Sculpture
Mixed Media
Other
Additional Description
Optional
Dimensions (HxWxL)
inches
Upload Image
Upload a File
Image must be in JPEG format and a minimum of 300 dpi. The file you upload must be saved as: LastName_Title_image2
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of
Image 3
Title
Year
Medium
Drawing
Painting
Printmaking
Sculpture
Mixed Media
Other
Additional Description
Optional
Dimensions (HxWxL)
inches
Upload Image
Upload a File
Image must be in JPEG format and a minimum of 300 dpi. The file you upload must be saved as: LastName_Title_image3
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of
Image 4
Title
Year
Medium
Drawing
Painting
Printmaking
Sculpture
Mixed Media
Other
Additional Description
Optional
Dimensions (HxWxL)
inches
Upload Image
Upload a File
Image must be in JPEG format and a minimum of 300 dpi. The file you upload must be saved as: LastName_Title_image4
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of
Image 5
Title
Year
Medium
Drawing
Painting
Printmaking
Sculpture
Mixed Media
Other
Additional Description
Optional
Dimensions (HxWxL)
inches
Upload Image
Upload a File
Image must be in JPEG format and a minimum of 300 dpi. The file you upload must be saved as: LastName_Title_image5
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of
Submit
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