Name(required)

If you are paying for someone else, please type the member's name

Telephone(required)

Email(required)

Birthday

Type of Membership (for new members only) Individual ($35/yr.) Family ($50/yr.) Senior 65+($20/yr.) Patron - Art Supporter ($100/yr) Patron - Art Advocate ($250/yr) Patron - Art Lover ($500/yr) Patron - Art Champion ($1000 & above/yr)

If Family or Patron membership; please list the names of the other Members (your household only).

Renewal (for current members only) Individual ($35/yr.) Family ($50/yr.) Senior 65+($20/yr.) Patron - Art Supporter ($100/yr) Patron - Art Advocate ($250/yr) Patron - Art Lover ($500/yr) Patron - Art Champion ($1000 & above/yr)

If Family or Patron membership; please list the names of the other Members (your household only).

Volunteer(required) Shows (help with set up, receptions) Meetings (set up and/or refreshments) Membership (welcoming new members) Newsletter (monthly) Community Activities (helping with local events) Workshops (I can teach or organize workshops) I can help where needed. Not interested.

Any other Questions or Comments?