Member Registration Form (TEST)

Membership: New or Renewing? *

Choose Your Membership Level *

Individual $37
Educator $27
** Family $47
Student $17

Your total payment is:

$ 0.00

MEMBER DETAILS

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

E-mail *

IF Family membership is chosen please include the following*

First

Last

Please fill this out ONLY if you select a FAMILY MEMBERSHIP PLAN.

Family Member Email

Please fill this out ONLY if you select a FAMILY MEMBERSHIP PLAN.

Family Member Phone

Please fill this out ONLY if you select a FAMILY MEMBERSHIP PLAN.

Please list your website below if you would like it to be included on a Public Page of VAST artists on www.VASTArts.org (note: writing down of your webpage URL below is considered permission to list it on the website):

(example: http://mywebsite.com)

May VAST put your name/email/phone number into a private passcoded directory on our website? *

Yes
No

Are you interested in a monthly all-media CRITIQUE GROUP meeting 8 times/year, which may be joined in August for the Fall Session or in February for the Spring Session for $60 a session? *

Yes
No

Are you interested in VADO, Visual Artists Day Out, meeting up to twice monthly, late mornings to early afternoon, in a casual studio environment while working on your own artwork? *

Yes
No

MEMBER PROFILE

Please check YOUR TOP FOUR areas of ART PRACTICE/ART INTEREST: *

If other, please explain.

VAST is an all-volunteer group. Please share your time/skills. Check YOUR TOP FOUR areas to offer help.

FAMILY MEMBER PROFILE

(FAMILY MEMBER) Please check YOUR TOP FOUR areas of ART PRACTICE/ART INTEREST: *

If other, please explain. (copy)

FAMILY MEMBER PROFILE

(FAMILY MEMBER) VAST is an all-volunteer group. Please share your time/skills. Check YOUR TOP FOUR areas to offer help.

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