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

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)

Payment Method*

MasterCard

Visa

Supported Credit Cards: MasterCard, Visa

Card Number Expiration Date Security Code Cardholder Name

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