APPLICATION FOR MEMBERSHIP

Name:

Address:

City

St

(Zip+4)

Home Phone:

Work:

E-mail:                                                      Website:

Media/Specialty:

Annual Membership

(circle the amount enclosed)

1.  New Members or lapsed membership:

$ 60.00*

Check membership packet for benefits 

2. Student and Senior (65+)Membership : 

$30.00

Check membership packet for benefits 

3.  Friend of The Art Coop:

(non-artist supporter)

$30.00

Donation of $30 or more

WHEN CAN YOU HELP?

Weekends

Weekdays

Evenings

Short Notice

SPECIAL SKILLS?

          Applicants please sign below. Your signature will attest to the understanding that this is a cooperative endeavor and that they will be expected to help in some capacity. While we make every effort to protect your artwork, artists understand that they exhibit at their own risk. 

Signature:

Date: