NAA Membership Application

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Your Three Initials

Emergency Contact

Membership Type. Memberships are good for one calendar year. However, youmay join or renew up to 3 months prior to January 1.

Are you a new or a returning member?

Do you want to be a consignor?

Please select any activities that you would like to help the NAA with

By signing below, you agree to the following:

I understand that as a member and/or consignor of the Nevada Artists Association (NAA), my name and/or images of my exhibited work may be used for publicity purposes by the NAA, and credit will be given when possible. Further, I understand that this use does not violate any copyright I may have in my art that is promoted by the NAA.

I agree to review and abide by the "Individual General Release and Consignment Agreement" that is available to read on the NAA website here.

Signature

Do you prefer to pay in person in the Gallery or by credit card on line?

If you are paying in person, do not enter your credit card.

My Products

NAA Membership

One year full membership.

$40.00 Quantity

NAA Student Membership

$20.00 Quantity

Total

Credit Card

Email

example@example.com

Members Application

My Products

Credit Card