The CUPOLA GALLERY
(An Artisan Co-op)
MEMBERSHIP APPLICATION
Instructions:
1. Read and understand theArtist 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: _____________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
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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%, but no sales tax.
| Artwork Examples |
| No. | Title | Medium | Size | Retail Price |
| 1 | | | | $ |
| 2 | | | | $ |
| 3 | | | | $ |
| 4 | | | | $ |
| 5 | | | | $ |
