ELK GROVE ARTISTS
Membership Form
Types of membership (check on) ___Artist...$35 ___Patron...$35
Name (print): ___________________________________________________
Address: ___________________________________________________
Phone: (B) ________________ (H)______________ Fax:_____________
E-mail: _____________________ Website: _____________________
Art media (check all that apply): Oil___ Watercolor___ Acrylic___ Pastel___
Sculpture___ Photography___ Clay___ Other____________