Southern Arts Society, Inc.

PO Box 334, 301 N. Piedmont Ave. Kings Mountain, NC 28086

704.739.5585 southernartssociety@gmail.com
www.southernartssociety.org www.facebook.com/southernartssociety

MEMBERSHIP FORM DATE ____________ 2018

Membership Benefits: discounts on classes, workshops, and entry fees for judged exhibits; access
to our lending library of over 1500 books and videos; access to work in classroom during open
hours; opportunity to meet fellow artists and art supporters; informative programs and art
demonstrations; opportunity to sell work in gift shop (submit gift shop application form), bi-monthly
newsletter, and invitations to special events.
Our Policy: Our organization provides equal opportunities without regard to race, color, religion,
national origin, gender, sexual preference, age, or disability. Thank you for joining SASI.
Check One: ______ NEW Member ______ RENEWING Member
CONTACT INFORMATION
Full name

Address (number and street) Apt #

City, State, Zip

Email Website address

Cell Phone Home or Work Phone

Preferred Method of Contact: Cell Ph Text Message Ph Work Ph

MEMBERSHIP LEVEL check one (dues paid between Oct-Dec will carry thru Dec the following year)
Student: ____ $10 (age 12-18) Supporting: ___ $50 Sponsor: ___ $500
Individual: ____ $25 Patron: ___ $100 Benefactor: ___ $1000
Household/Family: ___ $35
Family Member Names _______________________________________________
NEWSLETTER Please send by: ___ Email (default) ___ Regular Mail
MEDIUM(S) Check all that apply:
___Basketry ___Fiber Art ___Mixed Media ___Pen & Ink ___Other
___Clay/Pottery ___Glass ___Painting: Acrylic ___Photography ____________
___Collage ___Gourds ___Painting: Oil ___Printmaking ____________
___Color Pencil ___Jewelry ___Painting: Pastel ___Sculpture ____________
___Knit/Croch ___Painting: Watercolor ___Woodwork ____________
Please become an active member of SASi as an artist or art supporter. SASi is a 501c3 non-
profit organization that relies on members for financial and volunteer support to stay open to the
public. As an active member, we encourage you to serve on at least one committee:
Volunteer Interests:
___Administration ___Gallery Hosting ___Library / History ___Social/Receptions
___Bldg. Maintenance ___Gardening ___Membership ___Social Media
___Childrens Programs ___Gift Shop ___Newsletters ___Special Events
___Education/Teaching ___Grants ___Pottery Studio ___Volunteer Coord.
___Exhibitions ___Housekeeping ___Programs ___Website
___Fundraising ___Liaisons ___Publicity ___Other

Mail check and form to: Southern Arts Society, Inc - PO Box 334 - Kings Mountain, NC 28086
Office Use Only: Payment Receipt #_________ Ck #______ CC____ Cash____ Gift Shop_____