Premier Membership Form – The Arts and Antiques Group

Business or Artist Name *

Enter Your Business or Individual Name to use on Listing Profile.

Type of Arts and Antiques Business or Individual *

Please Choose Type of Business (Leave comment below to specify specialties)

Business Address *

Address Line 1

Address Line 2

City

State

Zip Code

Enter the address to use for your Business Listing.

Artists or Specialty Dealers Only - Choose Address Choices

Some Artists or Antique Dealers that only sell in Shows or Malls do not want their addresses displayed. Please choose if you would like an edited, or no address listed.

Requestor/Contact Name *

First

Last

Enter contact person's name.

Phone

Email *

Website / URL

Do You Want Social Media Links Added to Your Pages?

If the answer is yes please fill in the links to the Social Media and Online Pages You want to link to in the sections below. If No, Leave those Blank.

Social Media Links - Facebook Page

Enter your Facebook page or other Social Media Information in the sections below if you would like a link to those on your site page.

LinkedIn Page

Enter your LinkedIn page if you would like a link to it on your site page.

Twitter ID

Instagram

EBay

Etsy