Artist & Arts Organization Membership Form

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Name






Home Address






We need to collect county information for grant purposes.
Contact Information





Organization Address






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Organization Contact Information



Select all areas of arts and entertainment for which you have particular interest or experience
Arts Interests





Demographic Data

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Membership


Please Note: If you have a current legal issue, you must indicate so on this form. If you do not indicate that you have a current legal issue, GLA will not contact you to schedule an intake.

All communication will come from cases@glarts.org. If you do not see an email from us within 1 week, check your spam folder. If there is no email in spam, please email or call the office to follow-up.





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