AVA Advocate Level Membership
Please fill out the following information to purchase a membership. You will be redirected to a secure payment page upon form submission.
Full Name
First Name
Last Name
Pronouns
He/Him/His
She/Her/Hers
They/Them/Theirs
Other
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Pseudonym/ Business name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Website/ social media
Visual Arts Involvement
Artists
Art Hobbyist
Art Enthusiast
Artist Medium
Please check the categories that best describe you
African American / Black
Asian / Asian American
Hispanic or Latino / Latina / Latinx
Native American / Alaska Native
Middle Eastern / North African
Native Hawaiian / Pacific Islander
White / Caucasian
Multiracial / Mixed Ethnicity
Prefer Not to Answer
Other
Age
Under 18
18-65
65+
Prefer not to answer
Gender Identity
Prefer not to say
Non-Conforming
Non-binary
Male
Female
Two-Spirited
Other
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