Northern California Women's Caucus for Art
Membership Registration Form

Name:
Address:
City:
Zip:
Phone:
Email:
Dues:
Tax Deductable Contribution:

My Professional Area:

Artist

 Art Critic

Art Administrator

 Faculty

Art Historian

 Student

CAA Member

 Other:

I would like to work on/with:

Exhibitions

ART BEAT (Newsletter)

Slide Registry

Membership

Grants

 Salons

Website

Other:

Please Fill out ... print page ... Then mail Check and Form to:

Priscilla Otani, Membership Chair
263 Laidley St.
San Francisco, CA 94131

Please make check payable to NCWCA