Artist Membership Form

Artist Membership

Join our artistic community! As an artist member, you'll connect with fellow creators, access valuable resources, and contribute to shaping the local arts scene. Let's build a thriving artistic community together.
My Membership Selection*
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Artist Membership - Annual Dues
$25.00
Membership Information
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Artist Information

The following information is optional. It will help us get to know you, plan programming, and allow us to send anyone looking for your skills or services in your direction!
Media (select all that apply)

Acrylic PainterActorBook/Paper ArtsCeramics/ClayCharcoalColor PencilDancerDigital ArtsFiber ArtsFilmmakingGlass ArtistGraphic NovelistGraphite/PencilInkJewelryLiterary ArtsMetalworkMixed MediaMultimediaMusicianNovelistOil PainterPastelsPhotographyPoetryPrintmakingSculpture/3DSpoken WordStorytellerTheatre ArtsWatercoloristVideographyWoodworkingOther
Services (select all that apply)

Art AppraisalsArt PreservationArt TherapyArt LessonsCalligraphyCommissioned ArtworkCustom FramingDance LessonsFace PaintingGraphic DesignIllustrationMuralistMusical PerformanceObject FabricationPhotographyPrintingVideographyWeb DesignOther
Anything you'd like to let us know?

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Artist Website, Social Media and Contact Information

The following information is optional. If provided, it may be included on The Lee County Arts Council's website so please make sure to include only those items that you are comfortable having on the internet. Changes or updates may be submitted to leecountyarts@gmail.com at any time.
Studio or Business Name (if applicable)
If blank, the member's name will be used.
Artist Photo

The image should be a clear, well-lit photo of yourself and/or a sample of your artwork. File type: jpeg; jpg; png Size: 1200 pixels wide x 800 pixels high; 72 dpi/ppi Title: your name
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Artist Email Address
Website
Facebook
Instagram
Effective Date

MonthDayYear
Date
Expiry Date

MonthDayYear
Date

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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Artist Membership

Membership Information

Artist Information

Artist Website, Social Media and Contact Information