Im4theArts Membership form
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Email *
Surname *
First name *
Gender *
Age *
Phone number *
Province *
I am applying for: *
What do you do in the Arts? (choose as many as is relevant) *
Required
I have read and agree to abide by the Constitution of  the Im4theArts movement: find this on our website and FB group *
I consent to the Im4theArts movement listing me as a member. *
A copy of your responses will be emailed to the address you provided.
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