Application Form For Membership

Personal Details

Forename(s): __________________ Surname: __________________ Title: ___

Address: _________________________________________________________
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Postcode: __________________ Country: __________________
Telephone: __________________ Email: __________________
Fax: __________________ URL: __________________

Brief Details About Yourself

Please give details of any art training (academic or otherwise).
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Are you a member of any other art organisation?
If yes, please give details.
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How did you learn about NAPA? please give details.
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Do you earn your living as an artist / teach art or trade in art?
If so, please give details.
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Publications

Please give details of any artwork, articles or books
that you have had published.
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Please use this space to make any comments/statement
concerning your work

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Artwork

Please label each slide/photograph with your name, title of work,
size, number and list them below.
Thank you.

Size Title 1 ____________________________________________________________________
2 ____________________________________________________________________
3 ____________________________________________________________________
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I enclose slides/photographs of my work, plus the Candidate's Fee,
for possible acceptance as either a Full or Associate Member of
the National Acrylic Painters' Association.

Signed: _____________________ Date: ____________



FOR OFFICIAL USE: Member [] Reserve list []