The Illiana Artists is a not-for-profit 501(c)(3). All membership categories are tax deductible.
Student ($10)
Artist ($20)
Business ($100)
Name: __________________________________________________________________
Address: ________________________________________________________________
City: __________________________________ State: ______ Zip Code: _____________
Phone: ________ – ________ – ________ Email Address: _________________________
What media do you currently work in? ________________________________________
What subject matter are you most interested in? ________________________________
I have enclosed my membership dues for:
_______ Student $10.00 _______ Artist $20.00 _______ Business $100.00
Send the completed form (photocopy of student I.D. if applicable) along with an enclosed check or money order ONLY to the address above.