Mint Hill Arts Membership Registration

Primary Membership Application
Type (select one) *

New membership Renewal
Primary Member: *

First Name Last Name
Street Address: *
Apartment or Suite:
City, State, Zip: *
Primary Phone Number: *

Area Code Phone Number
Primary E-mail:
Primary Artist Website:
Media (limit to 4):

Acrylic Ceramics Charcoal Clay Colored Pencil Glass Jewelry Metal Mixed Media Oil Pastry Arts Paper Pastels Pen and Ink Photography Textiles Theater Watercolor Wood Writing
Additional Household Family Members
Household Member:

First Name Last Name
Phone Number:

Area Code Phone Number
E-mail:
Website:
Media (enter from above list and limit to 4):
Membership Selections
Please consider donating to Mint Hill Arts in addition to starting or renewing your membership!

Choose one or more of the donation options below, and thank you for your support!
* Please note: An active volunteer membership requires a minimum commitment of 3-5 hours per month.
Membership Level and Add-ons *

* Active Volunteer Membership $ 25.00

General Membership $ 50.00

Student Membership $ 15.00

Friend of the Arts $ 20.00

Silver Patron $ 100.00

Gold Patron $ 500.00

Platinum Patron $ 1,000.00

Add on: Household Membership $ 10.00

Add on: Custom Web Page $ 20.00

$25 Donation $ 25.00

$50 Donation $ 50.00

$100 Donation $ 100.00

$200 Donation $ 200.00

$500 Donation $ 500.00

$1000 Donation $ 1,000.00

Total $ 0.00
How did you hear about Mint Hill Arts?

Website Newsletter Newspaper or magazine Online (Blog, Facebook, Twitter) In the Gallery
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Primary Membership Application

Additional Household Family Members

Membership Selections