HVA Student Membership

Name:*

First Name Required Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Primary contact telephone:* Primary contact telephone is Required

Local authority:* Local authority is Required

Where are you studying?: Where are you studying? is not valid

Student ID number: Student ID number is not valid

What are you studying?: What are you studying? is not valid

How long is your course running for?: How long is your course running for? is not valid

Which year are you currently in?: Which year are you currently in? is not valid

Please enter your year of birth as a 4 digit number: Please enter your year of birth as a 4 digit number is not valid

Do you have a disability which would require any assistance at HVA events?

Gallery owner

How did you hear about HVA: How did you hear about HVA is not valid

How did you hear (other): How did you hear (other) is not valid

I'm willing to help out HVA with the following: I'm willing to help out HVA with the following is not valid

Organising Group, building HVAF Admin Support, Proof Reading Press, Social Media, Content Membership development Event support and delivery Area coordinators supporting local artists Fundraising, sponsors, advertisers Open Studios

Please list any other areas that you would be interested in helping with, or areas of expertise you have that you feel may be useful to us.: Please list any other areas that you would be interested in helping with, or areas of expertise you have that you feel may be useful to us. is not valid

Helping out when : Helping out when is not valid

Days Evenings Weekends

Please confirm how we may use your personal information, and then click Save to continue. You will have a chance to check and edit all the information you have entered prior to purchase. You may also come back and update this information at any time after purchase.:* Please confirm how we may use your personal information, and then click Save to continue. You will have a chance to check and edit all the information you have entered prior to purchase. You may also come back and update this information at any time after purchase. is Required

Please keep all my information private. Please show my contact details and art forms on the website and release them to legitimate enquirers. Please show my contact details (excluding postal address) and art forms on the website and release them to legitimate enquirers.

Username:* Invalid Username

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength Password must be "Medium" or stronger

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