Membership Application

Membership Application
First Name: *
Last Name: *
Address:
City:
State:
Zip:
Phone 1:
Phone 2:
Email: *
Website:
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Art Medium 1:
Art Medium 2:
Membership Type: *

New Renewing I'm not sure
Referred by:
Your membership will be automatically renewed unless you state otherwise in your PayPal account: *

1 Year ( $ 40.00 for the first year then, $ 40.00 for each year.)

2 Years ( $ 75.00 for each two years.)
If you do not want to use PayPal, you can mail a check along with a printout of this application form to us at P.O. Box 130703, Houston, TX 77219. Please allow 2-3 additional weeks for processing, however.
I want instructions to create or modify my free, personal VAA web page: *

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I am interested in helping with the following:

Community relations Email Exhibition production Historian Membership Newsletter Programs Publicity Secretary Social media Website Workshops Other option
VAA does not sell or otherwise supply any membership information to any third party. All information is kept confidential and is used only to communicate with you about VAA events and opportunities. Please direct questions to Membership@VisualArtsAlliance.org .
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