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Iowa Artists Membership Gift Form

We are so excited that you've decided to gift a year of Iowa Artists membership to your loved one!

Please complete the form below. The new member will receive a welcome email noting that you have paid for one year of membership.

Your Name

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Member's First Name

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Member's Last Name

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Member's Email Address

Member's Phone Number

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Member's Home Street Address

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Member's City

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Member's Zip

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Member's Region

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Member's Region

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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How did you hear about Iowa Artists

A

Friend/Family Member

B

Flyer at a gallery

C

Saw and 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

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Other

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

I will pay dues:

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Pay Dues Online

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Pay by check:

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