UNITED SOUTH END ARTISTS Membership 2021 Artist Name* First Last Business NameLeave blank if same as Artist NameList as Business Name*Select "Yes" and your Business Name will be used (instead of your Artist Name) in the Open Studios brochure and in your personal USEA webpage address as https://useaboston.com/business-name/YesNoUSEA Board Member*Select Yes if you are a 2021 Board MemberNoYesThe following information pertains to the Studio you will be in during the South End Open Studios 2021.Studio Number*Enter the Studio OR Gallery number where your work will be displayed during South End Open Studios (SEOS).Building Address*Select the Building Address of your Studio from the drop-down menu. If it's not listed here or you're a Member of a South End gallery, Select "Other - ..." and fill in the "Street Address" line in the next section, "City, State, Zip."--SELECT ONE Below--531 Albany Street535 Albany Street10 Berkeley Street6 Clarendon Street321 Columbus Avenue328 Dartmouth Street60 Dudley Street433 Harrison Avenue - Laconia Lofts444 Harrison Avenue450 Harrison Avenue460 Harrison Avenue486 Harrison Avenue524 Harrison Avenue - Shepherd Print Studio725 Harrison Avenue731 Harrison Avenue735 Harrison Avenue86 Pembroke Street36 Rutland Street276 Shawmut Avenue280 Shawmut Avenue300 Shawmut Avenue539 Tremont Street - BCA Artist Studio Building551 Tremont Street - BCA Artist Studio BuildingBCA Studio 204567 Tremont Street587 Tremont Street655 Tremont Street698 Tremont Street791 Tremont Street - The Piano Factory8 Union Park Street15 Union Park Street46 Waltham Street106 Waltham Street200 Waltham Street35 Wareham Street38 Wareham Street49 Wareham Street59 Wareham Street200 Washingtion Street1140 Washington Street1145 Washington Street - Project Place1200 Washingtion Street - Laconia Lofts143 West Brookline Street190 West Brookline Street92 Worcester StreetOther - TYPE ADDRESS Below in "City, State, Zip"City, State, ZipIf you selected "OTHER" above, fill in the Building Address or Gallery Name & Address for SE Open Studios. Also, you can ADD a line to your SEOS 2021 address above (like 'St. Cloud Studios' if you selected 567 Tremont Street above, for instance). Any other address you would like on your personal USEA webpage should be added to the "USEA Website Bio & Artwork Info" field further down in this form, not here. Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Your phone number will not be published on the USEA website.Email* Enter Email Confirm Email Email Published on Website?*If you select Yes, your email address will be available to visitors of the website and Internet search engines.YesNoWebsite ListingYour website can be listed on your personal USEA webpage on http://USEAboston.com and available to visitors of the USEA website and Internet search engines. Social Media LinksType in the full website address(es) of your social media profiles and we will add them to your personal page on the USEAboston.com website. You can add more links by clicking on the (+) to the right of the box below. SEOS Brochure Category Listing - Select ONE (1)*Select One Category from the Drop Down list that best describes your work. The Artist Registration Deadline for listing in the SE Open Studios brochure is June 25th to allow sufficient time for brochure creation, delivery and distribution.CeramicsJewelryPrintmakingSculptureFiber ArtsFashionWoodMixed MediaEncausticDrawingPaintingGlassPhotographyPaperSEOS Brochure Artwork Description*Description of your artwork (12 words or less) for the printed South End Open Studios brochure. The Artist Registration Deadline for listing in the brochure is June 25th to allow sufficient time for creation, delivery and distribution.USEA Website Category Listing*Category Listing for USEA website -- You can Select More than One category to describe your artwork. Ceramics Jewelry Printmaking Sculpture Fiber Arts Fashion Wood Mixed Media Encaustic Drawing Painting Glass Photography Paper USEA Website Bio & Artwork Info*Take this opportunity to put your Bio, a Description of your Artwork, Materials & Techniques, Shows for 2021, and any additional info (such as Studio Address which differs from Open Studios location) you would like included on your personal USEA webpage of the USEA website.Picture Upload*The picture(s) will accompany your information on the Website. Please click on "Choose File", Select a JPEG image of your work (with file extension .jpg) on your computer/device, and click "Choose". Best file size is minimum 200KB, maximum 1MB. Please name the file in the format of "FirstnameLastname.jpg" -- (for example, if your name is Peter Piper, the file name would be PeterPiper.jpg ).Accepted file types: jpg, jpeg.Picture Upload 2Choose another picture (with file extension .jpg) to appear on your personal USEA webpage. (Size - 1MB max, Name in the format of FirstNameLastName2.jpg)Accepted file types: jpg, jpeg.Demonstrations*Select "Yes" if you are interested in presenting one or more Demonstrations during the 2021 Open Studios weekend in September, and it will be indicated in the SEOS brochure.YesNoBoard Membership*Board Member FreeBoard Member PaidArtist Membership - $75*Your Selection should be "Artists in their own Studio - $75”Artists in their own Studio - $75Payment Method*Payment is by Credit Card and will be processed securely by Authorize.netCredit CardTotal $0.00 Credit Card*Credit card information is transferred securely from this form to Authorize.net for the sole purpose of processing the transaction, and is not retained by the useaboston.com website. All information must match your monthly credit card statement or the transaction will not go through and this form will reload and prompt you to correct the fields (boxes) highlighted in red. DiscoverMasterCardVisaJCB Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name Billing Address*(along with the Cardholder Name) must match the address on your monthly credit card statement, or the transaction will not go through. Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Captcha
