Member Form

Member Information Form

For Artist Notebooks and Member Directory

Please fill out and click on the SUBMIT button. All fields are required except a web address. All photos

should be approximately 4" x 6" or 1800 pixels longest side. Artist Statement should be in either a Word

document or .PDF format.

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Land Line Phone Number *

Cell Phone Number *

Email *

Web Address *

Photo of Yourself *

Max file size: 20MB

Artist Statement *

Max file size: 20MB

Photo of Art Number 1 *

Max file size: 20MB

Title and Size of Photo Number 1 *

Photo of Art Number 2 *

Max file size: 20MB

Title and Size of PHoto Number 2 *

Photo of Art Number 3 *

Max file size: 20MB

title and Size of Photo Number 3 *

Submit

Member Information Form​

Member Information Form