FIBRE.ART.WALES - membership
APPLICATION FORM
(please use the print option to print a copy of this form)
Name:
Address:
Postcode:
Telephone:
e-mail:
website:
Place of birth:
Welsh Speaker: Yes_____ No_____(please tick):
Your application should be accompanied by:
Image/CD Information Form:
|
NO
|
TITLE
|
DATE
OF WORK
|
SIZE
|
MEDIUM
|
STATEMENT
|
F/T
COLLEGE COURSE
|
WORKSHOPS | ||
|
YES
|
NO
|
YES
|
NO
|
||||||
|
1
|
|||||||||
|
2
|
|||||||||
|
3
|
|||||||||
|
4
|
|||||||||
|
5
|
|||||||||
|
6
|
|||||||||
|
7
|
|||||||||
|
8
|
|||||||||
|
9
|
|||||||||
|
10
|
|||||||||
Completed application forms, CV and image/disk should be sent to the address below:
Laura Thomas Membership Secretary, 4 Booker St., Roath, Cardiff, CF24 1QN Telephone: + 44 (0) 29 20 473043 e-mail: Laura Thomas