Artists' Cooperative Gallery of Westerly
Associate Member Application
Associate memberships are open to all artists, student artists and anyone who wishes to be a
part of and support the Artists' Cooperative Gallery of Westerly.
If you want to become an Associate Member, please print and complete the following form
and send it, along with a check for $35.00, to:
Artists' Cooperative Gallery of Westerly
12 High Street
Westerly, Rhode Island 02891
Attention: Membership Chair
Name____________________________________________________________
Address_________________________________________________________
City, St., Zip___________________________________________________
Phone_______________________________________________________
E-mail___________________________________________________________
Website__________________________________________________________
Artistic Medium__________________________________________________