Creative Way USA
Annual Membership Form
Simply fill it this form online, then print it out. Please be sure to sign your name if you are making payment by credit card.
Your Information    (* = Required Entry)
Membership Level (Select Appropriate Membership Category)
First Name*
Last Name*
First Name
Last Name
Group Name
Address*
City*
State*
Zip/Postal*
Country*
Phone*
Fax
Email*

All Membership Fees are Annual
(in U.S. Funds)
General Member Free
Friend
Full-Time Student   		$20.00
Friend
Individual   		$45.00
Friends
Dual/Family   		$65.00
Supporter   $100.00
Sponsor   $250.00
Benefactor   $500.00
Patron   $1000.00
Silver Patron   $2500.00
Gold Patron   $5000.00
Membership Category Information   (Check All That Apply)
Artist Categories:
Fine Art Music Drama
Dance Literary Graphic
Digital Media Ceramics
Other

Organization/Business:
NonProfit Charity Gallery
Museum School Library
Agency Business Manufacturer
Supplier Press/Critic
Other
Individuals/Families:
Collector Educator
General Public Agent
Art Patron
Other
Other/Additional Categories:
Credit Card Payment Info:
Name on Card:
Billing Address:
Amount:
Card Type:
Expiry Date:
Card Account #:
Signature:
MAIL TO:
Creative Way USA
2668 Honolulu Ave. Suite A
Montrose, Ca. 91020 USA
Fax: 818-249-6653

Please make checks or money orders payable to "Creative Way USA"

International Members:You must purchase a draft payable in U.S. funds drawn on a United States bank.

Questions? Tel: 818-249-5733, M-Fri 9-5 PST, E-mail: cwusainfo@creativewayusa.com or use our on-line contact form here.