After completing the form below, print and mail it to the gallery along with your check or charge card information to become a member.

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Renew New  YOUR GIFT IS TAX-DEDUCTABLE 
Basic Membership Donors Circle
Single   $45    
Family   $65    
Student*   $15    

* Single membership for students enrolled full-time in high school or college.
Friend  $125 +    
Sustainer  $250 +    
Patron  $500 +     Benefactor $1000 + 
Membership Amount:  $    
NAME(S):  
ADDRESS:  
CITY:  

   STATE  /  ZIP

PHONE - HOME:

PHONE - CELL:
PHONE - WORK:

PHONE - OTHER:
EMAIL:  
ARTIST MEMBERS: 
ARTIST #1
1st Name: 
Last Name
Medium: 
Email:  
Web Gallery Fee*:  $10.00   Date: (mm/dd/yyyy)
Web Address: 
ARTIST ##2
1st Name: 
Last Name
Medium: 
Email:  
Web Gallery Fee*:  $10.00   Date: (mm/dd/yyyy)
Web Address: 
Are you interested in Volunteer Opportunities?     YES  
TCAG $ Artist Web Fees = TOTAL ENCLOSED:  $
PAYMENT METHOD:     CHECK: "This Century Art Gallery" VISA Mastercard
Charge ACCOUNT NUMBER:
 
EXP DATE:
 / 
Name on Account: Signature:
 

* Artists Web Gallery: TCAG artist members are eligible to be listed in the TCAG Member Artists Online Web Gallery.

There is an annual web fee of $10 per artist to link from the Web Gallery to the Artist’s Personal Art Website.

* WEB Gallery FEES are required only if you wish to be listed in the TCAG Member Artists Web Gallery. You may still exhibit upstairs in the Members’ Gallery and you may participate in the Annual Members' Show regardless of whether you choose to be listed in the online Web Gallery.