Philagrafika Membership Form


Philagrafika uses PayPal for processing credit card payments. If you prefer not to pay online, please submit this membership form and call Caitlin Perkins at 215-701-6148 with your credit card information, or mail a check to:

Philagrafika
Attn: Membership
728 S. Broad Street
Philadelphia, PA 19146

Please clearly state who the membership is for on the check.

Current membership information

New member     Renewing member




Please indicate the level at which you would like to join/renew

Artist $35

Individual $50

Supporter $100

Organization $125

Collector $150 (does not include $15 for print shipping and handling)

If joining at the Collector level, select a member print from the choices below (print and artist information is located on the main Join & Support page).

                       

Patron $500

If joining at the Patron level, you are eligible to receive a Portfolio print valued at $500 or less. A Philagrafika representative will be in touch with you to discuss details. View Portoflio prints here.



Please provide us with your contact information

First Name
Last Name
Name of Organization

Title

E-Mail
Website

Main Phone Mobile Work

Address Line 1

Address Line 2

City State Postal Code

Country




Shipping address (if different than above)
for Collector level members requesting member print shipping

Address Line 1

Address Line 2

City State Postal Code




Additional Information

Check all/any that apply to you

Artist     Printmaker exclusively     Collector     Curator     Printshop

Gallery/exhibiton space     Other


If new to the organization, please take a moment to tell us how you
heard about Philagrafika


I would like a link to my website on Philagrafika's member page

I would like to receive the monthly Philagrafika Member News email

I am an artist and would like information about special opportunities in Philadelphia

      

philagrafika 728 south broad street, philadelphia, pa 19146 t: 215.557.8433 f: 215.972.8109 info@philagrafika.org