Beaufort Art Association
Membership Application Form
General and Student Membership /Year __________
Member Information: Please print and fill in the form below for a General Membership.
Name ____________________________________________________________________
Address __________________________________________________________________
Town/State/Zip ______________________________________________________________
Phone ____________________________ Mobile Phone: ____________________________
Email ____________________________________________________________________
School (for qualifying student) __________________________________________________
Membership Fees and Donations:
New Member
Renewal
Single Person $45.00
Family $75.00
Student $25.00
Benefactor:$100.00 or more
Checks or Money Orders: Payable to Beaufort Art Association
Visa
MasterCard
Discover
Am Ex
Card Number: ________________________________ Exp. Date: _______ Code: _______
Signature: ______________________________________________________________
Artists wishing to display works at the Gallery should send in this form
and call the Gallery for Exhibiting Artist Membership information; 843.379.2222.
Mail to: Beaufort Art Association, PO Box 625, Beaufort SC 29901-0625