Membership Application Form: Emerging African Art Galleries Association 2016
Please complete this form and provide as much relevant information as you can. The information collected will not be shared with anyone outside our organisation and will only be used in processing your application. 


NOTES:

• To join you must be the owner or co-owner of a relevant art business and be at Director level or equivalent executive function of the business with which proposed Membership is associated. 

• Please submit a completed application as set out below and include references by two current business associates. Referees can be long standing clients or an artist, fellow gallerist or art professional you have done work with.
• Emerging African Art Galleries Association (EAAGA) reserves the right to terminate Membership.
*More than one Director of the organization can apply for membership.

Please direct enquiries to eaaga2016@gmail.com
Name
Your answer
Business Name
Your answer
Ownership/legal status (Are you the owner or co-owner of the Business? If co-owner please, state % of ownership (ie 50%, 30% etc.) if another form of legal organization, please indicate):
Your answer
Postal Address
Your answer
Email
Your answer
Telephone
Your answer
Website URL
Your answer
Twitter Handle (if applicable)
Your answer
Facebook Business Page URL (if available)
Your answer
Instagram Handle (if available)
Your answer
LinkedIn Profile (if available)
Your answer
Pinterest Profile (if available)
Your answer
Tumblr Page (if available)
Your answer
Area(s) of expertise / specialisation?
Your answer
What interests you in joining the Emerging African Art Galleries Association? 
Your answer
How long have you been trading as an art dealer / gallerist / consultant?
Your answer
Do you have a permanent exhibition space?
Please state the total amount of time working as a Director, combining multiple businesses over time if applicable.
Your answer
Academic qualification & courses attended (qualifying & non-qualifying) 
Your answer
Art fair history as an exhibiting gallery, if available:
Your answer
Professional development interest topics:
What insurance cover does your business have? (public liability, employer's liability, professional indemnity, contents, etc) Please provide details
Your answer
Have you been involved in any legal proceedings related to your activities either professionally or as Director of a company? If your answer is YES, please provide details. We reserve the right to request further information on this matter.
Your answer
References: Two professional references are required for people that you have done business with internationally. You should describe the nature of the relationship. They can be artists with whom you have worked, clients, suppliers, art fairs or art dealer collaborators (primary and/or secondary). Please advise referees to expect contact from EAAGA. Provide for both references below: Full name, the nature of your relationship with the individual, company name, position in company, email, and telephone
Your answer
How did you learn about EAAGA? 
Your answer
Please add anything else you feel would be helpful for your application to EAAGA: 
Your answer
Declaration of affirmation - I hereby declare that all the details furnished above are genuine and true to my knowledge. I sign herewith. Typing your name here acts as your signature.
Your answer
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