Duxbury Art Association Membership Form

Please complete this form and mail to:

Duxbury Art Association – Membership
P.O. Box 204A
Duxbury, MA 02331-0504

Full Name (Last, First):_________________________________________________________

Mailing Address:______________________________________________________________

City, State, Zip:_______________________________________________________________

Email:______________________________________________________________________

Telephone (home):____________________Telephone (other):_________________________

I am an Artist/Artisan (Yes/No):_______ Medium:____________________________________

I am: ____a new Member; or ____renewing my membership.

Membership Category (please select one):      

____ $500 Sustaining (includes 4 tickets to the Summer Member Show and the Winter Juried Show)

____ $250 Benefactor (includes 2 tickets to the Summer Member Show and the Winter Juried Show)

____ $150 Patron (includes 2 tickets to the Summer Member Show)

____ $65 Family

____ $40 Individual

____ $30 Senior/Students (62+)

 

I would like to make an additional donation in the amount of: $______________

You may pay by check or pay online at: https://duxburyart.org/membership/

Total Payment by Check Enclosed: $_____________

Total Payment Made Online: $____________   Online Payment Date: ______________

Membership year runs from June 1st through May 31st.

DAA is eligible for corporate matching gifts. Please include your company’s matching gift form!

I am interested in volunteering (select all that apply):

____Gallery/Exhibitions                      ____Open Studio Host          ____General Office Duties

____Member Services                        ____Artist Services                 ____Finance

____Summer Member Show              ____Winter Juried Show        ____Craft Show Case

____Fundraising                                  ____Grant writing                    ____Public Relations

____Art talks/lectures                          ____Other (please describe):_______________________