Northville Art House Membership

MEMBERSHIP APPLICATION FORM

Join the Art House family or renew your support with a one-year membership.
Membership Type *

New Renewal
Membership Level *
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Senior (65+) $ 20.00

Student (Grades 1 -12) $ 20.00

Individual (1 Adult or Child) $ 30.00

Family (2 Adults & 2 Children/Teen) $ 50.00

Patron (2 & 2) $ 100.00

Sponsor (2 & 2) $ 250.00

Creative Circle (2 & 2) $ 500.00

Founder's Circle (2 & 2) $ 1,000.00

Total $ 0.00
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Start Date

Month Day Year
Today's Date will be the start of your annual membership.
Expiration Date
The Expiration Date of your membership is one-year from Today's Date.
Level
Your Membership Level
Member *

First Name Last Name
Second Member *

First Name Last Name
First Child

First Name Last Name
Second Child

First Name Last Name
Email *
Address *

Address

Address Line 2

City State

Zip Code
Phone *

Area Code Phone Number
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