AU Artist Membership Application Form

Art Upstate Artist MEMBERSHIP APPLICATION
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail
Phone Number

Area CodePhone Number
The following information will be used for entry into our Artists Directory.
Medium
Website
Social Media Sites (please add links)
Artists' Bio

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Artists' Image #1

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Artists' Image #2

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Artists' Image #3

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Artist Membership Fee
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Your Annual Membership Fee is$35.00
Membership is valid for one year and is renewable on your anniversary date.
Let us know what's on your mind.
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