ART Station, Stone Mountain, GA - Membership Application

Please complete the application form, print it and mail or FAX it to us with your credit card information or your check in the amount indicated payable to ART Station, Inc. You may also submit the form with your credit card information via the Internet, but we warn that this is not yet a 100% secure site, and your credit card information may be at risk. You may also submit the form via the Internet indicating how you choose to pay. This will let us know that your printed copy and check are on the way or that you would like for us to call you for your Credit Card Information. We will begin the paperwork to set up your membership as soon as your application is received.

We look forward to having you become a part of the ART Station community.

© Copyright 1998 - 2003 ART Station, Inc. and Practical Computer Services, All Rights Reserved.
This site designed by Practical Computer Services.
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If you are an Artist interested in exhibiting at ART Station, please complete our
Membership Level:		If you have chosen Benefactor, please enter the amount you wish to donate:
Names:
Name (Last, First):		,
Spouse/Partner Name (Last, First):		,
E-Mail:
Day Phone:		Time?
Eve. Phone:		Time?
Mailing Address Street Address: City, State, ZIP:
Additional Comments or Requests: (Text may not wrap in box using Netscape.)
Payment Information:		Check will be mailed. Credit Card Info will be mailed. Please call for Credit Card Info. Credit Card Info submitted.
(If you ask to be called, include day and evening phones and the best time to call.)
Credit Card Type:
Exp. Date:
Card Number:
Name as it is on card:
If you choose to submit your credit card information via the Internet, you do so at your own risk. As stated above, we do not yet have a totally secure means of transmission.