Name
*
First Name
Last Name
Phone Number
*
E-mail
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Website:
Artist Bio:
Visual Arts Media: (check the media you frequently use)
*
Acrylic(Ac)
Charcoal(Ch)
Collage(Co)
Colored Pencil(CP)
Design(Ds)
Encaustic(E)
Graphics/Digital(G)
Ink(I)
Mixed Media(MM)
Oil(O)
Pastel(Pa)
Pencil/Graphite(Pe)
Photography(Ph)
Printmaking(PM)
Sculpture(S)
Watercolor(W)
Acceptance:
*
I give my permission for my photos and artwork to be used by MGAL
Member Type:
*
I am a New Member
I am a Current Member paying dues
Renewing Members: (please report the status of your information)
*
My information HAS changed
My information HAS NOT changed
Select a Service Team
*
Exhibition
Exhibition Reception
Membership
Education
Outreach
Development
Publicity
Communication
Website
Non-Refundable Annual Membership Fee
*
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Annual MGAL Membership Dues
June 1st through May 31st of the following year
$
30.00
Quantity
1
2
3
4
5
6
7
8
9
10
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