Online Membership Application Form

HCAG Online Membership Application

To apply for membership please complete all questions and enter payment information at the bottom.
NEW MEMBER OR RENEWING MEMBER?

NEWRENEWING
Name

First NameLast Name
business name
(If applicable)
E-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Website
Facebook Page
Business FB Page (if applicable) (e.g. facebook.com/businessname)
Instagram Page
Instagram Account (if applicable) (e.g. instagram.com/businessname)
Artist's Medium
(if applicable)
Additional information

I am interested in selling my work in the HCAG gallery at 718 Main Street.I am interested in leading a workshop.I would like to serve on a committee or volunteer at the gallery.

Annual Membership Type

Student Membership$5.00

Individual Membership$35.00

Household Membership$50.00

HCAG Online Membership Application