Clone of Clone of Group/ Partnership organizations/ Family Level

AVA Dual Membership

$115.00 annually (AUTO-RENEWAL) AVA Dual membership is for two members living or working under the same address.
Full Name (Member 1)

First NameLast Name
He/Him/HisShe/Her/HersThey/Them/TheirsOther
Write In Pronouns
Email Address (Member 1)
example@example.com
Phone Number (Member 1)
Please enter a valid phone number.Format: (000) 000-0000.
Pseudonym/ Business name (Member 1)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Website/ social media (Member 1)
ArtistsArt Enthusiast/DonorArt Collector
2D Mixed Media3D Mixed MediaAcrylic PaintCeramicsDigital/New MediaDrawingFiberGlassJewelryMuralOil PaintPastelsPhotographyPrintmakingSculptureWatercolorOther
Member #2

AVA Dual membership is for two members living or working under the same address. Please provide information for the additional member on your account.
Full Name (Member 2)

First NameLast Name
Email (Member 2) *must be different from Member 1
example@example.com
Phone Number (Member 2)
Please enter a valid phone number.Format: (000) 000-0000.
Website/ Social media (Member 2)
ArtistsArt Enthusiast/DonorArt Collector
2D Mixed Media3D Mixed MediaAcrylic PaintClayColored PencilDigital ArtDrawingFiber/FabricGlassGraphiteInkJewelryMetalMuralOil PaintPastelsPhotographyPrintmakingSculptureStoneWatercolorWoodOther
I'm happy with a virtual membership cardI'd like a physical membership card mailed to my home
African American / BlackAsian / Asian AmericanHispanic or Latino / Latina / LatinxNative American / Alaska NativeMiddle Eastern / North AfricanNative Hawaiian / Pacific IslanderWhite / CaucasianMultiracial / Mixed EthnicityPrefer Not to AnswerOther
Under 1818-6565+Prefer not to answer
Prefer not to sayNon-ConformingNon-binaryMaleFemaleTwo-SpiritedOther
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Dual Membership (auto-renews)

($115.00 for 1 year)

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AVA Dual Membership

Member #2

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