JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
ArtsMedford Annual Membership Form
Membership runs January through December. Members who join in October or later carry through to the following year. After submitting this form, you will need to
go to our website
to submit payment.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name:
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
Type of Membership
Choose
Artist - $35
Youth Artist - $15
Family (Includes artist members) -$50
Individual Friend of MACI - $30
Non-Profit Organization - $80
Patron - $1000
Sustainer - $500
Contributor - $250
Supporter - $150
Is this a new membership?
*
Renewal
New
Address
Your answer
City
Your answer
State:
*
Your answer
Zip code:
*
Your answer
Artist Profile:
For the artist members, please indicate your primary media/categories.
Painting (any kind)
Creative Writing
Digital Imagery/Film
Drawing
Jewelry
Mixed Media
Photography
Music
Sculpture
Textiles
Theatre, Movement, Performance Art
Other:
(Optional) My primary focus is:
If you are an artist or supporter with a primary focus, please share it here.
Your answer
Volunteer Interests
There are many opportunities to participate as a volunteer with MACI. Please consider joining us i our effort to promote the arts!
Staffing Events
Publicity and Membership
Fundraising
Teaching Classes
Graphic Design
Social Media/Website
Exhibit Planning
Receptions
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report