Couple Price: Membership year starts Oct 1 of each year First Name:* First Name Required Last Name:* Last Name Required Address Line 1:* Address Line 1 is Required Address Line 2: Address Line 2 is not valid City:* City is Required Country:* Country is Required -- Select Country -- United States (US) Afghanistan Åland Islands Albania Algeria Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belau Belize Benin Bermuda Bhutan Bolivia Bonaire, Saint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo (Brazzaville) Congo (Kinshasa) Cook Islands Costa Rica Croatia Cuba CuraÇao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Republic of Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao S.A.R., China Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Norway Oman Pakistan Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Martin (Dutch part) Saint Pierre and Miquelon Saint Vincent and the Grenadines San Marino São Tomé and Príncipe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia/Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom (UK) Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Western Sahara Western Samoa Yemen Zambia Zimbabwe State/Province:* State/Province is Required Zip/Postal Code:* Zip/Postal Code is Required Local Phone: Local Phone is not valid Cell Phone: Cell Phone is not valid Other Phone: Other Phone is not valid About You: About You is not valid I am a full time Resident of the Florida Keys a 6 month resident 3 months resident less than 3 months What type of art are you creating? : What type of art are you creating? is not valid Acrylics Oils Watercolor Media Mixed Media Pen/Pencil Pastels Plein Air Sculpture Photography Digital Art Other Are you interested in offering you time and talents with one of our committees?: Are you interested in offering you time and talents with one of our committees? is not valid Administration/Book Keeping Annual Show Student Education Hospitality/Party Plein Air Workshops Computer/Website Events Photographer General Event Volunteer Vehicle for Equipment Transport Indemnity Agreement:* Indemnity Agreement is Required I recognize that the Art Guild of the Purple Isles (AGPI) would not be able to operate successfully and sponsor activities without obtaining a release of liability from its members and participants. In consideration of the right to participate in activities offered by the AGPI or any of its directors, officers, leaders, instructors, or members, I hereby agree to RELEASE, IDEMNIFY, AND HOLD HARMLESS the AGPI, its directors, officers, leaders, instructors and members from any loss or damage suffered by me or any family member I bring to an AGPI activity. In consideration of my possible appearance in AGPI publications, videos, website, photos, facebook or other promotional materials, and without compensation, I give my permission to AGPI and to others authorized by AGPI, to use my image in all manner and media for use of AGPI publicity and promotion. I agree that my appearance in such media may be deleted, modified and/or edited at AGPI’s sole discretion. If I do not wish to have my image used to be for any event, I will advise the Board of AGPI in writing that I do not wish my image to be used. I RELEASE, IDEMNIFY, AN HOLD HARMLESS the AGPI or any of its directors, officers, leaders, instructor or members from all claims which I may have resulting from such appearance as expressed above. I have read and agree to the Indemnity Agreement.* Email:* Invalid Email Password:* Invalid Password Password Confirmation:* Password Confirmation Doesn't Match Payment Information Once submitted a link from the AGPI Treasurer for online payment will be emailed to you. Note: Please check your spam folder. No val Please fix the errors above admin2021-04-02T07:48:04-04:00
