Application Page

Application Form

 MEMBERSHIP

REGISTRATION FORM
Sculptors Dominion International, Inc.

Welcome! Membership Descriptions * Payment Instructions * Registration Form 

Registration: Print, fill out, send in. Use Money Order or check (Or credit card see required information, at link Payment Instructions page. Questions,1-210-696-9813;gilbertebarrera@gmail.com. Address Envelop to: SDI Membership, 11354 Vance Jackson Rd., San Antonio, Texas 78230

Name:_________________________________________________________________

Address:_______________________________________________________________ 
City: __________________________________________________________________
State: ___________________________ Zip Code:_____________________________
Country:______________________________________________________________

Phone: (____)_____-________Cell phone: (____)_____-________Other___________
E-mail: _______________________________________________________________
Website: ______________________________________________________________

Facebook: ___ yes ___ no;     Other Social Site?______________________________

Gender: Male_____; Female______
Your Age Group: 18 to70 yrs____ 70 +yrs ______ 13 to 17yrs_____ 12 younger_____ 
Sculpture Skill: 
Professional _____ Experienced ______ Novice______ None________ 
Occupation:____________________________________________________________

Membership Level ______________________________________________________
Membership Amount ____________________________________________________ 

Select Level & Amount Below...
Category Descriptions

Basic Membership. …….      $   30
Sculptor Membership. …     $   50
Art Associations ….........     $  100

Corporate Membership. .     $ 150

Youth/Teen Membership. ..    $ Free
Student Senior Military. ..      $    20

Life Membership. ………      $2000

Michelangelo Sponsor. …     $5000
Phideas Sponsor. ……….     $3000
Bernini Sponsor. ……….     $2500
Canova Sponsor. ……….     $1500
Henry Moore Sponsor. …    $  200

Membership and Sponsorships are open to all individuals/ entities with an interest in the art of sculpture. Gilbert E. Barrera, sculptor - CEO
© 2010, Sculptors Dominion International, Inc. Sculptors Dominion International, Inc., and The Sculptors Invitational, and Sculptors Dominion are copyright and Trademarks 2003 to 2010 of Gilbert E. Barrera.