Membership Form

UVAA Membership
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RenewalNew Membership
Contact Information
Full Name (Primary Member)*

First NameLast Name
If this is a Family Membership and you would like another person affiliated with the account, please add their name here.

First NameLast Name
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number*

Area CodePhone Number
Mobile Phone (Optional)

Area CodePhone Number
Stay Connected:
Receive calls to artists, upcoming events and news notifications, and more. (Your email will never be provided to outside organizations or vendors.)
Primary E-mail*

Confirmation Email
Secondary E-mail

Confirmation Emailexample@example.com
Would you like to hear about UVA's News and Events?

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Please Select your Preferred method/s of Contact

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Are you an Artist?

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If you are an Artist you can list your Website here:
Family Memberships include all the members of the household. Please indicate how many family members are in your household.
Number of Adults (Over age 18)*
Number of Children (Age 17 or younger)*
If you would like to let us know what UVA means to you, please type here! We want to share your voice with our Community!
Membership Purchase
The Umpqua Valley Arts Association mission is to create and foster a climate that supports arts appreciation, participation and education. When you choose to be a member, you recognize UVAA as a vital community resource for culture and art now and for generations to come.

Membership is for one-year and benefits include:
- Discounts on classes & workshops
- 10% off Gift Gallery purchases
- Special invitations to events, artist talks and lectures
- Opportunity to hang a work of art at the annual Members' Show
After submitting this form you will be taken to a secure PayPal gateway. You do not need a PayPal account to complete the transaction, simply pay as 'guest'.

Your Membership supports arts and culture programs for adults and youth in Douglas County. Thank you for your contribution to our community through your support of the Arts!

*Memberships are nonrefundable

My Products*

Individual Membership$65.00

Family Membership$95.00

Individual - Teacher Membership$45.00

Individual - Student Membership$ Free

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Student Membership Verification:

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UVAA Membership

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