Online Membership Form

Please complete the Membership Form below.

Alternatively the Membership Form can be downloaded in Word or PDF and submitted to info@creativeclare.ie when complete.

Your Name (required)

Address

Your Email (required)

Phone

Website

Area of Work

Artist Craft Worker Designer 

Artist Area of Work

Craft Worker Area of Work

Designer Area of Work

Description of your work

Select Method of Payment

Bank Lodgement Electronic Transfer Paypal 

Date of Membership Payment