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Membership Form


You can now complete the W7AC membership form online.
This form is also available for download for mailed and faxed submissions.
Name:


Street Address:


State, City, Zip Code:


Phone #:


Cellular Phone #:


Email:


Describe Discipline:


Do you work with (or are you willing to work with) children?:
Yes
No

Do you work with (or are you willing to work with) senior citizens?:
Yes
No

Do you (or are you willing to) conduct workshops in your craft?:
Yes
No

Will you be willing to attend workshops to improve your craft?:
Yes
No

What skills are you in need of to advance your career?:


Are you a member of a professional art organization?:
Yes
No

Artists: List exhibitions, performances, etc. (summary, names, and dates please):


Are you an artist in need of health insurance?
Yes
No

Are you an artist in need of life insurance?:
Yes
No

Are you an artist in need of financial planning?:
Yes
No