Elko County Art Club
Membership Form

Please fill out and submit this form to apply for ECAC membership, receive the most recent ECAC newsletter, and be invited to the next ECAC monthly meeting.

If you do not wish to apply for membership, but have questions or comments about the Elko County Art Club, please email the Webmaster.

First Name       Last Name

Address      

Address      

City             State   ZIP

Home Phone Format: 111-111-1111

Work Phone  Format: 111-111-1111

Cell Phone    Format: 111-111-1111

Email          

Website       (if you have one)

What do you consider your artistic skill level? Please check one.

  Beginner Intermediate Advanced

What artistic media do you use?        

Choose all that apply. Hold down the CTRL key to make multiple selections.
Please explain "OTHER" below.

Comments/Questions

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