Clone of Clone of Group/ Partnership organizations/ Family Level

AVA Dual Membership

$115.00 annually (AUTO-RENEWAL) AVA Dual membership is for two members living or working under the same address.
Full Name (Member 1)

First NameLast Name
Pronouns (Member 1)

Other
Write In Pronouns
Email Address (Member 1)
example@example.com
Phone Number (Member 1)
Please enter a valid phone number.Format: (000) 000-0000.
Pseudonym/ Business name (Member 1)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Website/ social media (Member 1)
Visual Arts Involvement (Member 1)
Artist Medium (select all that apply)
Member #2

AVA Dual membership is for two members living or working under the same address. Please provide information for the additional member on your account.
Full Name (Member 2)

First NameLast Name
Email (Member 2) *must be different from Member 1
example@example.com
Phone Number (Member 2)
Please enter a valid phone number.Format: (000) 000-0000.
Website/ Social media (Member 2)
Visual Arts Involvement (Member 2)
Artist Medium (Member 2)
Membership Card
Please check the categories that best describe you OR your member partner
Age
Gender Identity

Other
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Dual Membership (auto-renews)

($115.00 for 1 year)

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AVA Dual Membership