The Art Society of Trinidad and Tobago  
Membership Application Form
(Please print out this form and submit with your cheque  of TT $ 200.00/US 35.00 per one calendar year- TT 100.00/ US 20.00 additionally for your website on the ASTT homepage).
Application form and payment may be directed to:
The Art Society of Trinidad and Tobago, P.O. Box 524, Port of Spain, Trinidad and Tobago, W.I.
e-mail Ms Amryll Boisselle concerning membership at a.boisselle@polanc.com
Date:.............................................

Name: ...................................................           ..............................................................................         
                             surname                                                   first name

Address: ........................................................................................................................................

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Tel. # Home :...................................................    Work : ............................................................

Cell Phone: .................................................  Fax #: ..........................................................
E-mail: .........................................................................
Homepage:.........................................................................

Profession/Occupation: ..................................................................................................

Art Interest         (Please tick where applicable and supply details) :  
Artist                   Collector                       Other  

If Other, explain................................................................................................................................

If Artist, define field(s) Painting.........................................................................................................

Sculpture............................................................................................................................................

Mixed Media ......................................................................................................................................

Computer Graphics...........................................................................................................................

Other .................................................................................................................................................

Art education and training.................................................................................................................

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Signature

Cheque attached of TT/US ................................................