Adult's Class Registration Form

Thank you for Becoming a Member of the Whitemarsh Art Center

To complete your member registration process please fill in the form below
Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number

Annual, Individual Membership

Recurring Individual Membership($45.00 for each year)

This is an annually recurring payment. You will need to contact us to end the automatic renewal. Members receive a discounted rate on all classes and workshops for the duration of the membership subscription plus 10% discounts at local participating vendors.

One Year (non-recurring) Individual Membership($45.00 one-time payment)

This membership options includes the same benefits as the recurring membership but it DOES NOT renew automatically.

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty:

Thank you for Becoming a Member of the Whitemarsh Art Center