AEN - Artist Membership 2023

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Please fill out this form with information specific to your programs. If you are an agent, please sign up using the Arts Enrichment Network - Agent Membership form.

Payment is due at the time of sign up. Membership is $25. Payment can be made 2 ways: send a check made out to Arts Enrichment Network and mail to Arts Enrichment Network, c/o Stacey Moriarty, 223 Melrose St., Auburndale, MA 02466 , or send payment via Venmo to: Stacey Moriarty @Stacey-Moriarty-1. Membership is good through January 31, 2024.

Program/Business Name *

Artist Last Name *

Artist First Name *

Email Address *

Preferred Phone Number *

Web Site *

Please use format of: www._____.com

Program Categories *

Select up to 3 categories that best describe your program

Music

Dance/Movement

Theater

Puppetry

Storytellers

Language Arts (e.g. Authors, Poetry, Writing)

(multi) Cultural

Visual Art

Other:

Required

Program Formats *

Please select the types of formats you provide

On-Site Performances

Workshops

Residencies

Virtual Streaming

Required

Are you represented by an agent? *

If you are represented by an agent who wants to sign up as well, they should do so using the AEN Agent Membership Form.

Yes

Submit

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