The CUPOLA GALLERY
(An Artisan Co-op)

  MEMBERSHIP APPLICATION

Download Printable Application Here

Instructions:

 1. Read and understand the Artist Membership Contract and Membership Levels and Bylaws.

2. You may mail your application to The Cupola Gallery, P. O. Box 2521, Battle Ground, WA  98604.  
Include a self addressed and stamped envelope for return of your CD or slides.

3. Or, you may deliver your application to The Cupola Gallery, 510 East Main Street, Battle Ground, WA.

Artist Name: _____________________________________________________ Date: _____/_____/____

Street Address: _______________________________________________________________________

City: ______________________________________ State: __________________ Zip: ______________

Home Telephone: ____________________________ Work Telephone: __________________________

Email: _____________________________________ Web Site: ________________________________

Describe your art: _____________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

You may submit actual artwork pieces or slides or CD of your artwork. 
Include three to five examples of your artwork that have been produced within the last two years.

List the title, medium, approximate size and retail price of each piece of artwork below. 
Note: Retail prices must include Gallery commission of 25% - 40%, depending on member's chosen level, but no sales tax.

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