Artist Membership | ArtFusion 19464

Date

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Occupation*

Phone*

Email*

Enter Email Confirm Email

I am*

renewing my membership
applying for membership

Jury images

We require new applicants to submit 3-4 images in order to jury your work for membership. Please upload high quality jpegs of your work here. Choose pieces that best represent you as an artist. Alternately, we can jury images currently on display on your website or Facebook page.

My concentration is:*

You can choose more than one.

Please list any mediums you would like to explore further.

Please list any other art organziation of which you are a member.

Membership level*

Working Artist Membership $100
Working Artist Membership with Volunteer Committment $80
I am an ArtFusion 19464 instructor.

I am intersted in serving on the following commitee(s):

Please choose as many as you like.

Working Artist Committee
Fundraising Committee
Strategic Planning Committee

My skills include:

Choose as many as apply.

Computer/database
Leadership
Marketing
Finance
Event planning
Grant writing
Hospitality

Would you be willing to gallery sit?

Yes
No

Images of my work*

By checking here, I agree, as a Working Artist Member of ArtFusion 19464, for my work to be used in promotional materials and advertising.

How did you hear about our artist membership?*

Additional comments

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