New York Artists Equity Association

Application for Membership

________________________________________________________________
name

________________________________________________________________
address

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city

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state

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zip

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phone (home)

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phone (business)

___Photographer ___Printmaker ___Sculptor ___Painter ___Other

___Regular (see below) ___Associate ___Student (I.D. required) ___Contributing ___Supporting ___Gallery/Small Business ___Patron ___Corporation ___Life Membership

$35.00 $35.00 $20.00 $55.00 $100.00 $150.00 $250.00 $500.00 and up $1,000.00

Also, I am pleased to give $____________ in addition to my membership as a contribution.

Please print out this page (or frame). Fill in the application above indicating your profession and membership category. Make your check payable for the amount of the category you have selected and mail to:

NYAEA
498 Broome Street
New York, NY 10013-2213

Phone: (212) 941-0130

Applicants for Regular Membership
Please Comply With These Requirement

Please submit six slides with a self-addressed stamped envelope. Indicate which two slides we can retain for our slide registry. Label all slides with name, title, dimensions, medium, and date.

Please submit a resume including information on education, solo exhibitions, group exhibitions, awards, collections, art related activities, and special activities such as teaching, juries and service in other organizations.

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signature and date

Regina Stewart, Executive Director