EPAA NEW OR RENEWING MEMBERS

New or Renewal, Choose One:

Full Name

First NameLast Name

Business Name (Business Memberships only)

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail

Confirmation Emailexample@example.com

Primary Phone Number

Format: (000) 000-0000.

Alternate Phone Number

Format: (000) 000-0000.

Website or Business Address (Optional)

If you are renewing, is any information above new?

We would like to know more about our members so we can better serve you. Please let us know about yourself. Or if you prefer not to answer, that is okay too.

GENDER

AGE

ETHNICITY

Annual Membership Fee (Choose One)

General Membership

$35.00

Senior Membership (65 or older)

$30.00

Military or Spouse Membership (w/ID)

$30.00

Student Membership (25 years and under : Enrolled)

$20.00

Business Membership (Choose a Class)

$50.00 Class
Item subtotal:

Enter coupon

Total

Your Art Medium

Select yes or no to be added to the "proposed" EPAA Members Directory on our Website

Artists Biography (suggested)

Please type or cut & paste a Biography to be used for promotions as needed.

Artists Statement (suggested)

Please type or cut & paste an artist statement to be used for promotions as needed.

Image #1

Add a non blurry, straight on image of your work (no frames please)

Title of Image #1

Image #2

Add a non blurry, straight on image of your work (no frames please)

Title of Image #2

Image #3

Add a non blurry, straight on image of your work (no frames please)

Title of Image #3

Recommended by:

Check below to Volunteer. We will phone or email you to discuss options.

Annual Membership Fee (Choose One)*

Annual Membership Fee (Choose One)