Working Artist Members To download a pdf of this form, please click here. To pay for your Beech St. Artist Membership online, click here. To pay for your Beech St. Artist Membership with Volunteer Commitment online, click here. 2017 Beech St Artist Membership Date Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Occupation*Phone*Email* Enter Email Confirm Email Website Membership level* Beech St. Artist Membership $100 Beech St. Artist Membership with Volunteer Committment $80 I am an ArtFusion 19464 instructor. How you can help Volunteer to gallery sit Assist in receiving or hanging a show Volunteer for a community event Assist on a committee Be considered for a future board position Please choose as many as you like.Images of my work* By checking here, I agree, as a Beech St. Artist Member of ArtFusion 19464, for my work to be used in promotional materials and advertising. Additional commentsCaptchaPlease enter the CAPTCHA code above.