New Regular Member New Student Member * Renewal
Name:
Address:
City:
State: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip:
Phone(h):
Phone(w): Cell:
e-mail:
web address:
Creative Avenue: Please be specific and list all areas of interest and expertise. This information will be used in our next directory, allowing members to network with each other. Please do not feel intimidated and do not feel modest. For example: Artist: paint in oils, acrylics; fiber artist, mural painter, etc. Writer: poet, novelist, etc.
Artist:
Writer:
Committees: Please indicate the committee(s) on which you would be willing to serve:
Refreshments/hospitality: Membership: Literary Events:
Visual Art Events: Newsletter: Publicity: Philanthropy:
Other Services:
Computer Skills: Please indicate proficiency level, programs and Mac or PC
Graphic Design:
Bookkeeping:
Event Planning:
Commercial printing connections: Copy center connections:
Other:
Ease of access to certain types of supplies or materials:
