Please Fill Out Form Pay Online or Mail in Payment Fields marked with an * are required Evening Sponsor Evening Sponsor - Annual Membership Form Member Status * New Member Renewing Member Divider Copy Location and Past Business Dealings * I am / my Business is located in Bristol or Warren, RI I am / my Business has done business in Bristol or Warren, RI within the past two years What type of business do you have? (if applicable) Divider Payment Pay Online Pay by Mail Divider Copy Business Name * Last Name * First Name Email * Phone * Address * Address City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Washington DC ARMED FORCES AFRICA \ CANADA \ EUROPE \ MIDDLE EAST ARMED FORCES AMERICA (EXCEPT CANADA) ARMED FORCES PACIFIC Zip Website Address Social Media Handle(s) Business LOGO Upload Select Files Cancel Upload your business logo here. Please name the file your business name. Divider Copy Copy If you are a human seeing this field, please leave it empty. Donate Here! Mail In your Payment Please make your Check payable to: “Art Night Bristol Warren” and Mail To: Art Night Bristol Warren, P.O. Box 194 Warren, RI 02885