Membership Application and/or renewal form              Receipt #: ________________________

Individual membership Fees: $15.00 per year.   (memberships run from January 1 to December 31)

________ new member                                                                       ________ renewal

Name: ______________________________________________________________

Phone: ______________

Mailing Address: _______________________________________________________Postal Code: __________

Email Address:_____________________________________________________________________________
(Please use full address, your membership and information will be mailed to you, and if applicable, your
newsletter will be e-mailed to you.)

Area of Artistic Activity: ______________________________________________________________________

Volunteer opportunities: Host/Hostess: ___________ Fundraising: _______________

Other:_____________________________________________________________________________________

__________________________________________________________________________________________

Comments and suggestions welcome:_____________________________________________________________

________________________________________________________________________________________________

All members are welcome to show artwork in all membership shows throughout the year.