Gallery 57 West Membership Application

Name *

First

Last

Email *

Mobile Phone *

*Must be a smartphone.

Layout

Accepted Medium 1 *

Accepted Medium 2

Accepted Medium 3

Medium 1 Products Price Range(s) *

Medium 2 Products Price Range(s)

Medium 3 Products Price Range(s)

Type of Display Required *

Please check all that apply.

FOUR MONTH GUEST COMMITMENT

(Check one option below) $165 per month – Due by May 16, 2023. *Checks may be submitted at the Gallery Meeting.

Payment Structure *

One Check for $660
Two checks for $330 (First check dated June 1, 2023, second check dated August 1, 2023)

SCHEDULE

All artists need to work 1 weekend shift per month. Below, please list 3 options for weekend shifts that you can work. Every effort to accommodate requests will be made.

Weekend 1 Dates *

Weekend 2 Dates *

Weekend 3 Dates *

Please Check the Days of the Week and Times that work best for you *

Please list any known/planned absences of two weeks or more

FOUR MONTH GUEST COMMITMENT

SCHEDULE

Thank you for your interest in the Annapolis Arts Alliance's Gallery 57 West!