MCA Memebership Application

MCA Membership Registration

Thank you for your generosity & continued support of the Arts.
You. Need. Art.

Art. Needs. You.
Date

Month Day Year
Date
Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number
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Email
example@example.com
Choose one

Philanthropist * $1000-up Patron * $500-999 Benefactor * $100-499 Couple * $80 Artist/Individual * $50 Students & Seniors * $25
For Artists, Creatives, and anyone who would like to submit thier art.
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Artist/Individual member
$ 50.00

Couple
$ 80.00

Student/ Senior
$ 25.00

Benefactor
$ 100.00

Patron
$ 500.00

Total

$ 0.00

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

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MCA Membership Registration