Membership Application

Mesa Art League Membership Application

Date: ______________________________

First Name ________________________________ Last Name ______________________________________
Phone : ___________________________________ Mobile Phone: ___________________________________
Email: _____________________________________ website: _______________________________________
Address: __________________________________________________________________________________
City _______________________________________ ST _______ Zip _________________
[ ] year round resident? [ ] Winter resident? [ ] Veteran

Your medium: _______________________________________________________________________________

Renewal ($45) due January of each year [ ] Membership good through the end of the year.
NEW MEMBERS DUES STRUCTURE:
If joining January through June - $45 [ ] Family membership $65 [ ]
If joining July through December - $35 [ ] Family membership $40 [ ]

We appreciate your volunteer time. Should you wish to volunteer, please choose the area you feel most comfortable assisting with, please check at least one:
[ ] Hospitality [ ] Publicity [ ] Demonstration [ ] Membership [ ] Social Media [ ] Art Shows [ ] Venues
[ ] Lead a workshop [ ] Other _________________________________________________________________

Other Memberships and Supporters – A tax deductible Charitable Contribution for: DONATIONS APPRECIATED:

[ ] Friends of MAL - $50 [ ] Sustaining - $75 [ ] Patron - $250 [ ] Corporate - $750
[ ] Veterans Outreach Art Program - $ ____________ [ ] Other __________________

The Mesa Art League is a 501c3 not for profit Art Organization providing art assistance to the ART and VETERAN community of Arizona. A participating artist membership is open to all persons over 18 years of age and offers the opportunity to vote and hold an office. Participation also includes but is not limited to the displaying of ORIGINAL ART in all of the Mesa Art League art shows and venues.

To Pay: You may use the QR code on the right…….

YOU NEED TO ALSO PUT IN YOUR NAME AND EMAIL SO WE WILL KNOW WHO THE PAYMENT IS FROM. THIS IS ESPECIALLY TRUE IF YOU ARE A NEW MEMBER.

To pay by check: Make payable to Mesa Art League and mail to Mesa Art League, Membership – P.O. Box 7733, Mesa, AZ 85216-7733

Please include this form with payment.

DUES ARE TAX DEDUCTIBLE

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For Office only:

Membership Paid Date: Month _______ Date ________ Year _______ Amt Pd. $ _____________