Iowa Artists Membership Form
Membership Renewal Fee is $25.00. Due Day is December 31st of each year. Please send payment to Stephanie Swilley, 451 Woodcrest Drive, Waterloo, Iowa 20701.
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Today's Date:
Last Name:
First Name:
Street Address:
Zip Code:
Email Address:
County (NOT State, your county determines your region):
Cell Number or Second Phone Number:
Home Phone Number:
Membership is:
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Change of Address:
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Please select your Region Number- determined by your county:
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