How did you learn about the WSAC?

__________________________________________

__________________________________________

__________________________________________

What can the WSAC do for you?
__________________________________________

__________________________________________

__________________________________________


What can you do for the WSAC?
☐ Installation     ☐ Curating     ☐ Gallery Sitting
☐ Fundraising     ☐  Design (PC/Mac)
☐ Phoning     ☐ Errands     ☐ Handy Work
☐ Other __________________________________________

I am interested in these Committees:
☐ Newsletter     ☐ Website     ☐ Membership
☐ Research     ☐  Publicity   ☐ Grant Writing

I am interested in Board Membership:
☐ Officer     ☐ Area of Interest Chair
☐ Membership Chair     ☐ Newsletter Editor
☐ Member at Large (Advisory)

To become a member, print and send

☐ New Member
☐ Renewal                              Today's Date:      /      /

Name: __________________________________________

Address: ________________________________________

City: _________________ State: ____ Zip: _____

Phone: ___-___-____     Fax: ___-___-____

Email:_____________________________________

I want to join WSAC as a/an:
☐ $25 Student (1) ☐ $75 Family (2)
☐ $45 Artist ☐ $100 Supporter
☐ $45 Friend ☐ $500 Patron
☐ $60 Organization ☐ $1000 Medici

I wish to exhibit or participate in the following areas:
☐ Fine Arts
☐ Photography
☐ Craft Arts
☐ Music
☐ Poetry

Amount Enclosed:
Membership Fee: $_____
Registration Fee: $10.00 *
Additional Donation: $_____
Total Enclosed: $_____

Members must be 18 years of age or older.
(1)Must provide proof of full time student status
(2)For two adults living at the same address
*Include $10 registration fee for new memberships and for renewals if more than three months since membership expiration
Web Hosting Companies