MEMBERSHIP APPLICATION WHITTIER ART ASSOCIATION & GALLERY 8035 Painter Avenue, Whittier, CA 90602 562-698-8710 (phone/fax) Name: Mr. Mrs. Ms. ___________________________________________________________________ (Circle one) (Please print) Street ___________________________________City ______________________Zip ______________ Phone #s: ________________________ Work_____________________ Cell ___________________ E-mail _______________________________ Website _____________________________________ Art Medium/Experience _______________________________________________________________ The Associated membership owns the Gallery and is incorporated under California law; therefore membership dues and special fund raising events must cover all expenses of maintaining the Gallery and Association and its functions. This takes work and cooperation of all the membership. Please indicate any of the following with which you can help: _____ Teaching _____ Gardening _____ Newsletter production _____ Fundraising _____ Legal _____ Building Maintenance _____ Website _____ Art Judging _____ Computer work _____ Publicity _____ Exhibit hanging _____ Refreshments _____ Bookkeeping _____ Other _________________________________ _______________________________________________________________________ Signature Date I'm adding my tax-deductible donation of $ ____________ to support the work of the Whittier Art Association & Gallery. |
| Contributing Artist _____ Associate Member _____ Junior Member _____ |