Updated Membership Registration Form

Customer Details:

Full Name*

First NameLast Name

Dual Member Name (optional)

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Phone Number*

E-mail*

example@example.com

New MembershipRenewed Membership

My Products*

Individual Membership

Benefits include: A monthly e-newsletter, discounts to ADSVA events, other Art Deco Society Events and our partner businesses.

$35.00 Quantity

Jazz Age Membership (Under 35)

For those Under 35 - Includes all benefits of an individual membership

$25.00 Membership Duration (1 or 2 years)

Dual Membership

Includes all benefits of an individual membership for two people.

$75.00 Membership Duration (1 or 2 years)

Patron

All benefits of Dual membership + free admission to GAP for 2

$150.00 Membership Duration (1 or 2 years)

Sustainer

-All benefits of Dual Membership -Name listed in Flapper and on Website -4 free admissions to Gatsby Afternoon Picnic

$300.00 Membership Duration (1 or 2 years)

Total

$0.00

Tell us how you heard about the Art Deco Society of Virginia:

MEMBERSHIP REGISTRATION FORM