Florida Keys Council of the Arts Artist Registry

Artists we invite you to add your listing to our Artist Registry. Just follow the step-by-step instructions below. A listing in the registry is a benefit of Arts Council membership. If you are not already a member, this form enables you to join on-line. If you prefer to send your membership contribution by check rather than on-line, please print this form and mail to: Florida Keys Council of the Arts, 1100 Simonton Street, #2-263, Key West, FL 33040.

* Description (Please Limit to 150 characters including spaces)	*Name:	Please enter name in ALL CAPS
	*Address:
	*City
You may choose up to three categories for your listing.	*State
	*Zip
	*1st Phone
Image: (JPG or GIF Only) 170 pixels wide x 140 high NOTE: Only one image will appear with your listing, regardless if multiple categories were selected.	2nd Phone
	Fax
	Website:	(example: http://www.yourcompany.com)
Please create a user name and password: This allows you to edit your listing.	* e-mail:
* user name		I'm a current member of FKCA
* password		New member of FKCA $50 Individual Additional Contribution (fill in amount) Thank you!
Confirmation of your submittal will be sent via email.		Exp.
	Credit Card Number:

or