Membership Form
Date
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Type of Membership
Please Select
Adult
Student
New or renewing member?
*
Brand new meber
Renewing membership
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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We publish a membership yearbook to our members. We will only include the items of personal information you select below.
*
Street Address
Email Address
Telephone No.
Artistic Styles/Interests
Watercolor
Fabric/Textile
Mixed Media
Photograhy
Writing
Music
Acrylic
Pastels
Wood
Pottery/Clay
Ceramics
Other
Groups you might want to join
People Painters
Open Studio
Fabric/Textile Arts
Photography
Drum Circle
Creative Pen
What areas are you willing to hellp with?
Helping with Exhibits
Membership Recruitment
Building Maintenance
Fundraising
Public Relations
Giving Workshops/Classes
Event Planning
Sponsorships
Youth Activities
Setting up Events
Gallery Staffing
Prividing Refreshments
Providing Food
Being a Board Member
Working on a Committee
Other
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Membership Fee
Amount Due
*
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( X )
USD
Description
Credit Card
Treasurer Email
example@example.com
Submit
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