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
7 Canal Street
Westerly, Rhode Island 02891
Attention: Membership Chair


Name____________________________________________________________

Address_________________________________________________________

City, St., Zip___________________________________________________

Phone_______________________________________________________

E-mail___________________________________________________________

Website__________________________________________________________

Artistic Medium__________________________________________________