YES! I want to become a new member of the VCC!YES! I want to renew my membership in the VCC!
Alert! There are changes in the following information.

Business Name:

Contact Name:
Address
Town
Zip
Phone
Email:
Website Address:

I work as a Craftsperson in:

Metal
Clay
Fiber
Glass
Wood
Paper
Fine Arts (Painting, Pastels, Drawing,
Printmaking, Photography)
Other Media

or:

Shop or Gallery
Craft Fair or Event
Organization

Product Description to be used on Vermont Crafts Council Website:

Four words that describe your business, products or type of art work: (4 words Max.):

How you are Open to the Public ? Check all that apply:

Regular Business Hours
By Appointment Only
Wheelchair Accessible
I offer classes to the public.
Wholesale Accounts Welcome

Optional Vermont Crafts Council Projects:
Enhanced Web Pages on the Vermont Crafts Council Site

Open Studio Weekend 2005, Deadline December 15 2004

Will you send a picture for our website gallery?
Yes, by e-mail
Yes, enclosed (for those people printing and mailing application)
Yes, I already have pictures on the site.
Not at this time.

Membership Categories:

Individual $60
VCC Sponsor $100
VCC Patron Saint $500
Second Listing - Add $20.

Will you need a second listing? Each listing will have its own separate page on the VCC Web Site and must be related in one of the following ways to the first listing.

Please check the category which best describe your two identities.

One Crafts/Arts Business with more than one site.
Crafts/Arts business with separate gallery listing.
Craftsperson/Artist working in two media.
Two Crafts/Arts businesses, same address.
Organization with educational and gallery identities.

Please complete one form and e-mail or print and mail. Then complete a second form with information about your second listing. You can pay for both at the same time. Note: Credit card information sent via this form is not encrypted or "secure." Credit Card information or a check may be sent independently of the information on this form, if typing and clicking is more convenient

Payment Method:

Check: In U.S. Dollars payable to The Vermont Crafts Council

Credit Card:VisaMasterCard

Card #:

Ex Date

If paying by check, print the completed form and send to :

Vermont Crafts Council
Box 938
Montpelier, Vt 05601
(802) 223-3380

To send this form as email, click the submit button: