Working Artist Members

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Name*

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Address*

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Occupation*

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My concentration is:*

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Please list any mediums you would like to explore further.

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

Membership level*

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

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My skills include:

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Would you be willing to gallery sit?

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.

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