Open Studio Membership Application Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * Country (###) ### #### Membership Day and Time Monday 14.00-17.00 Monday 18.00-21.00 Tuesday 10.00-13.00 Tuesday 14.00-17.00 Tuesday 18.00-21.00 Wednesday 10.00-13.00 Wednesday 14.00-17.00 Wednesday 18.00-21.00 Thursday 10.00-13.00 Thursday 14.00-17.00 Thursday 18.00-21.00 Friday 10.00-13.00 Friday 14.00-17.00 Friday 18.00-21.00 Membership Fee * 3hrs per week - £70 per month 6hrs per week - £110 per month 9hrs per week - £137 per month Start Date * MM DD YYYY I have read and agree to the Handbook * Yes I have set up my Direct Debit * Once submitted the Direct Debit will be setup within 7 days and future payments will be collected on or just after the 1st of the month Yes Accessibility The Art House offers step-free access throughout the building. Please let us know if you have any accessibility needs. Thank you! Download the Handbook Set up Direct Debit
