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ADDRESS5 N Walnut Street, Milford DE, 19963

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HomeMembership Application

MAL Membership Application

Name(Required)

First Last

Phone(Required)

Email(Required)

Enter Email Confirm Email

Address(Required)

Street Address Address Line 2 City State ZIP Code

Membership(Required)

Student

Individual

Joint

Family (3+)

Total

Username(Required)

Choose Your Username

Additional Members(Required)

Full Name

Email Address

Requested Username

Additional Members(Required)

Full Name

Email Address

Requested Username

Artist(Required)

I am an artist

I am a supporter of the arts

Medium(s)(Required)

I am interested in:

Exhibiting

Taking Classes

Teaching a class

Volunteering

Gift Shop Vending

Yes! I want to be involved!

Gallery Hosting

Hospitality Choice

Gallery Cleaning/Maintenance

Fundraising

Education Committee

Exhibit Committee

Grant Committee

Public Art

Marketing Committee (includes social media posting)

1x Events (help as needed)

Pay By(Required)

Paypal

Check

Please click PayPal for payment options.

MasterCard

Visa

Supported Credit Cards: MasterCard, Visa

Card Number Expiration Date Security Code Cardholder Name

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