PROJECT ARTAUD CORPORATION
499 Alabama Street, San Francisco, CA 94110 * phone 415.621.4240 * fax 415.621.3824
|
Please mail or drop off your completed application to the Project Artaud Office. |
Project Artaud Membership Application
DATE of application: ____________________
Name(s) :________________________________________________
________________________________________________________
Street Address:____________________________________________
City:__________________State:___________ Zip:________________
Phone:
Type: (home / work / studio / cell) Area code:________Number:________________
Type: (home / work / studio / cell) Area code:________Number:________________
Email:______________________________Web Page:____________________________
Do you know any current or past members of Project Artaud? Yes / No If yes, who?
__________________________________________________________________
Number of adults in household ______ Number of children in household ______
Do you have pets? Yes / No What kind and how many______________________________
Project Artaud considers need a factor in evaluating membership applications. Please indicate the total
household income level for the past calendar year for ALL persons applying for membership.
(You may be required to submit an income tax return or other verification of income.)
__under $20,000 __$20,000-35,000__$35,000-50,000 __over $50,000
Monthly dues are based on the number of square feet in a space. Members also pay for utilities
and common charges. What is the maximum total amount you could afford per month?
| ___Under $300 ___$301-400 ___$401-500 ___$501-700 ___$701-999 ___Over $1000 other:___________________ |
| ___Arts Administration ___Arts Education ___Artisan - Ceramics ___Artisan - Glassmaking ___Artisan - Jewelry ___Artisan - Textiles / Weaving ___Artisan - Woodworking ___Artisan - Other |
___MultiMedia - Digital Arts ___MultiMedia - Filmaking / Video ___MultiMedia - TV / Radio ___MultiMedia - Sound / Light ___Performing Arts - Dance ___Performing Arts - Drama ___Performing Arts - Playwright ___Performing Arts - Composer ___Performing Arts - Other |
___Visual Artist - Painter |
| ___100-199 ___200-399 ___400-599 ___600-799 ___800-999 |
___1000-1199 ___1200-1399 ___over 1400 ___no preference |
| ___Under $5000 | ___$31,000-40,000 | |
| ___$5,100-10,000 | ___0ver $41,000 | |
| ___$11,000-20,000 | ___Need to Borrow it | |
| ___$21,000-30,000 | Other:____________________ |