NAME:__________________________________________

ADDRESS:______________________________________

CITY:____________________STATE:_______ZIP:_______

PHONE:_________________________________________

E-MAIL:__________________________________________

SALES TAX#:_____________________________________
No sales tax# is needed to be a member of Creative Artists.

You must have a sales tax# to sell your artwork in our shows.

Please make checks payable to;

Mail check and form to;
Lorie Bramley
3860 B. Deer Valley Dr.
Marion, IA. 52302

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