Bathurst Art Society - Membership

APPLICATION FORM (term - Jan 1 to Dec 31)
Registration fee may be paid by e-transfer, by mail or in person at the next scheduled meeting of the Society.
(You will be informed of the date and place of the next meeting)

Section A

Contact Information
Type of Application:

Type of Application: Renewal New Member
Name Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code
Phone Phone - ### - ### ####
Cell Phone Cell Phone - ### - ### ####
Email
Section B

Membership details
Membership Category (Check one)

Membership Category (Check one) Artist - $40 (19 yr+) Artist Couple/Family of 2 - $65 (19 yr+) New Artist (after 30th June) in current year - $20 Adult Student - $15 (19 yr +) Non-Artist Adult - $20 (19 yr +) Non-Artist Member FREE Life Member Adult FREE (19 yr +) School Student FREE (Under 19 yr)
Your current status (check one)

Your current status (check one) Member (active) Member (Non-active) New Member Associate member (non-artist)
Committee Preference (choose one or more)

Committee Preference (choose one or more) Gallery (cleaning, working etc) Marketing/Promotion/Advertising Hanging/Display Committee Serve on Committee (i.e. Fund Raising) Other (programs, guest speakers, exhibitions etc) Event/Activity (Planning and Assisting)

You must select at least one committee.
Payment

You may pay by cheque sent to the mailing address below or by eTransfer to payments@baybreezeart.ca

Bathurst Art Society
c/o Rita May Gates
1201 Whelton Dr.,
Bathurst, NB E2A 3S5
Section C

Marketing agreement and your comments
Marketing
Art work belonging to a member may be used on the Bay Breeze Art Gallery website or social media for marketing purposes, with credit to the artist.

Marketing
Art work belonging to a member may be used on the Bay Breeze Art Gallery website or social media for marketing purposes, with credit to the artist. I consent I do not consent
Your comments
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Bathurst Art Society - Membership

Bathurst Art Society - Membership

Section A

Section B

Payment

Section C