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Iowa Artists Online Membership Form

Welcome to Iowa Artists! We are so excited to have you as part of the community.

Annual membership/renewal fees ($25) are due by January 1st every year.

First Name

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Last Name

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Email Address

I give you permission to share my email with Iowa Arts Centers for news/updates about exhibitions and classes.

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Yes

No

Phone Number

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Home Street Address

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City

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Zip

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Region (by county)

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Region 1 (Dickinson, Emmet, Lyon, O’Brien, Osceola, Palo Alto, Sioux, Clay)

Region 2 (Cerro Gordo, Franklin, Hancock, Humboldt, Kossuth, Pocahontas, Winnebago, Worth, Wright)

Region 3 (Allamakee, Chickasaw, Clayton, Fayette, Floyd, Howard, Mitchell, Winneshiek)

Region 4 (Buena Vista, Cherokee, Crawford, Ida, Monona, Plymouth, Sac, Woodbury)

Region 5 (Boone, Calhoun, Carroll, Dallas, Greene, Guthrie, Polk, Webster)

Region 6 (Hamilton, Hardin, Jasper, Marshall, Poweshiek, Story)

Region 7 (Benton, Black Hawk, Bremer, Buchanan, Butler, Grundy, Tama)

Region 8 (Cedar, Clinton, Delaware, Dubuque, Iowa, Jackson, Johnson, Jones, Linn, Scott)

Region 9 (Audubon, Cass, Fremont, Harrison, Mills, Montgomery, Page, Pottawattamie, Shelby)

Region 10 (Adair, Adams, Clarke, Decatur, Madison, Ringgold, Taylor, Union, Warren)

Region 11 (Appanoose, Davis, Keokuk, Lucas, Mahaska, Marion, Monroe, Wapello, Wayne)

Region 12 (Des Moines, Henry, Jefferson, Lee, Louisa, Muscatine, Van Buren, Washington)

How did you hear about Iowa Artists

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A

Friend/Family Member

B

Flyer at a gallery

C

Saw an Iowa Artists Show

D

Booth at an art festival or market

E

Referred by a current member (please list member name in next question)

F

Instagram Ad

G

Facebook Ad

H

Other

If applicable, what is the member's name who referred you to Iowa Artists?

I will pay my dues:

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Pay Dues Online

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Pay by check:

I will mail my check (payable to Iowa Artists) to: Wendy Ebbers; Attn: IA - Membership; 312 Adams Street; Rockwell, IA 50469