YEAR OF MEMBERSHIP: ___________ MEMBERSHIP FEE: $35.00
DATE ____________________________________ NAME ________________________________________________________________ ADDRESS _____________________________________________________________ PHONE NUMBERS _____________________________________________________ EMAIL ADDRESS _______________________________________________________
Payment by: ____ Cash _____ Cheque _____ e transfer ([email protected])
Please choose and initial: _____ I consent to the use of photos of my artworks on posters, Facebook, a web page or in any form of advertising Or _____ I do not consent to the use of photos of my artworks on posters, Facebook, a web page or in any form of advertising. Your application and payment may be mailed to Box 4171, Barrhead, AB, T7N 1A2 or dropped off at the Art Gallery & Studio between 11:00 am - 3 pm on Fridays and Saturdays.