2016 Southern Arts Society Membership Form

Date___________________

Membership Benefits: Discounts on classes and workshops, discounted entry fee for judged exhibits, lending library of
over 1500 books and videos, access to work in the classroom during open hours, opportunity to meet fellow artists and
share ideas, informative programs and art demonstrations, opportunity to sell work in our gift shop (must submit work
for approval), bi-monthly newsletter and invitations to special events.
We encourage you to become an active member of the Southern Arts Society (SASI) either as an artist or as someone
with an appreciation and desire to support the Arts. SASI is a volunteer based non-profit organization that relies on its
members. As an active member, we hope you will volunteer as a Host to keep the Depot open and volunteer to serve on
at least one committee. There are many ways to help.

Contact Information NEW ADDRESS, PHONE OR EMAIL? (Renewing Members) ____Yes ____No

May we publish your contact information in our Website Artist Directory?

Please check below.

Last Name (print): ______________________First Name: _______________________Yes____

Address:______________________________________________________________ Yes____
City:_______________________________________ State:______ Zip:___________ Yes____
Home Phone:__________________________________________________________ Yes____
Mobile Phone:_________________________________________________________ Yes____
E-mail Address:________________________________________________________ Yes____
Business Name:________________________________________________________ Yes____
Website: http://www.____________________________________________________ Yes____
Personal Facebook: www.facebook.com/____________________________________ Yes____
Business Facebook: www.facebook.com/____________________________________ Yes____
Membership Level check one
(dues paid between Oct-Dec will carry thru Dec the following year)
Student: ____$10 (age 12-18)
Individual: ____$25
Family:
____$35 (Family Member Names) ___________________________________________________
Supporting: ____$50
Patron:
____$100
Sponsor: ____$500
Benefactor: ____$1000
Send Newsletter _____E-mail or _____Regular Mail
Medium(s) Check all that apply:
___Basketry
___Fiber Art
___Clay/Pottery
___Glass
___Collage
___Gourds
___Drawing
___Jewelry

___Mixed Media
___Painting Acrylic
___Painting Oil
___Painting Pastel

___Painting watercolor
___Pen & Ink
___Photography
___Printmaking

___Sculpture
___Woodturning
___Woodworking
__________Other

Volunteer Interests:
___Administration
___Bldg Maintenance
___Childrens Programs
___Education/Teaching
___Exhibitions
___Fundraising

___Gallery Hosting
___Gardening
___Gift Shop
___Grants
___Housekeeping
___Liaisons

___Library / History
___Membership
___Newsletter
___Pottery Studio
___Programs
___Publicity

___Social/Receptions
___Social Media
___Special Events
___Website
___Other

Special skills I have to offer: summarize special skills you have acquired from employment, volunteer work, or other activities.
Use back of this form if needed. _________________________________________________________________________________
Our Policy: It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national
origin, gender, sexual preference, age, or disability. Thank you for joining SASI.
Mail check and form to: Southern Arts Society, Inc - PO Box 334 - Kings Mountain, NC 28086
Phone: 704-739-5585 Email: southernartssociety@gmail.com Website: www.southernartssociety.org
Office Use Only: Payment Receipt #__________________ Ck# __________ CC___ Cash____ Gift Shop Id __________