PLANETCOLLAGE.COM
… Encouraging you to enjoy art while finding your passion, and hidden talents !!

Planet Collage c/o LuEllen Joy Giera
P.O. Box 3774
Oak Brook, Illinois 60522-3774
planetcollage@gmail.com

Please view the application below. Click here for a printable version of our membership and mail it to the address above.

“Please email me if you are interested in inquiring about or participating in the FREE monthly postcard exchange and or the candy tin exchange (even months)”

Initial Membership - month of receipt to the next year (e.g. if recv'd in July 08 membership will end 7-09)

Date:

Name:

Email address:

Address:

City: State: Zip:

Phone (w/ area code): Day: Evening:

Other Media or areas of interest:

Type of Membership: [ ] $15.00 Individual [ ] $50.00 Contributing
[ ] $100.00 Supporting [ ] $200.00 Patron/Corporate [ ] $500.00 Sponsor

[ ] $25.00 Fee for Artist Gallery on Planet Collage Web Site (request details before payment is made)
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Please check all that apply:
[ ] Practicing Artist [ ] Art Appreciator [ ] Student [ ] Patron

I am interested in:
[ ] brick and mortar show(s) [ ] postcard exchange [ ] Altoid (candy tin) exchange
[ ] online show(s) [ ]Contributory writer for webpage [ ] Guest juror/judge/critique
Please e-mail my newsletter in PDF format [ ] Yes [ ] No

I understand that this collage organization offers free activities (monthly postcard exchange and periodic candy tin exchange) to the art community at large. I am aware that my membership entitles me to online delivery of newsletters, participation in brick and mortar shows and/or virtual shows as available. In addition, an optional ephemera exchange will be held in March of each year. The membership period is yearly - beginning the month of receipt with membership renewable beginning the month of the next year

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