Membership Action: (Check all that apply)
   New        Renewal    Renewal after lapse
   Change of Membership Information only
   Paid Via PayPal    Check Included
 
Memberships Type:
   Regular Membership, one year = $35
   Regular Membership, two year = $60
   Lifetime Membership ($600)
 
Important: Membership fees must be made in U.S. funds.

Name:

Company / Studio Name (if applicable)

 
Mailing Address:



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Phone #

Fax #

Email:

Website:

 

Categories (Please indicate three for your directory listing)
- selection 1 - Agent Amateur Artist Art Show Management Art Collector Art Director Auctioneer Critic Computer Artist Cartoon/Comic Artist Editor Fabric Artist Graphic Designer Illustrator Interest in Art Jeweler Painter Photographer Press Professional Artist Publisher Sculptor Semi-Pro Artist Student Writer

- selection 2 - Agent Amateur Artist Art Show Management Art Collector Art Director Auctioneer Critic Computer Artist Cartoon/Comic Artist Editor Fabric Artist Graphic Designer Illustrator Interest in Art Jeweler Painter Photographer Press Professional Artist Publisher Sculptor Semi-Pro Artist Student Writer

- selection 3 - no selection Agent Amateur Artist Art Show Management Art Collector Art Director Auctioneer Critic Computer Artist Cartoon/Comic Artist Editor Fabric Artist Graphic Designer Illustrator Interest in Art Jeweler Painter Photographer Press Professional Artist Publisher Sculptor Semi-Pro Artist Student Writer
 
Would you like your mailing address listed?
In order to recieve art show and contest mailings, your address must be listed.
Yes    No
 
Would you like your phone number listed?
Yes    No
 
Would you like your email & web address listed?
Yes    No

I am interested in becoming more involved in ASFA. I would like to volunteer my time assisting in the following areas:
 
Chesley Awards Comittee
Producing content for ASFA Publications
Providing Art for ASFA publications and forms
Designing flyers for events and meetings
Assisting at the ASFA table at Conventions
Helping in the Hospitality Suite at Worldcons
Acting as an ASFA Online Community Moderator
Developing educational programming
Convention Grievance Committee
Providing Advice to new Artists
Other:
 
I am not interested in volunteering at this time.

The Association of Science Fiction and Fantasy Artists (ASFA) is a private, non-profit educational association, and as such relies heavily on the support of its member and the community. Your donations greatly help to cover our operating expenses and ensure our continued survival. ASFA is exempt from Federal taxation under section 501(c)(3) of the Internal Revenue Code which means contributions receive the maximum deductibility permitted under Federal law.
 
Would you like to make a donation at this time?
Yes    No
 
If so, would you like to receive written acknowledgement of your donation for IRS purposes?
Yes    No
 
Please indicate amount of donation enclosed: {If applicable}
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