MEMBERSHIP FORM

This form cannot be electronically transmitted. Please print it out and mail it to us along with your payment to:
Asheville Art Museum
P.O. Box 1717
Asheville, NC 28802-1717

Please enroll me as a(n) ______________ member.
Go to Membership Groups

Please circle your membership status:
New  Renewal  Gift

__________________________________________
(Mr./Mrs./Ms.) Name
(as you would like it to appear on the membership card)

___________________________________________
Address

___________________________    _____    ________
City, State, Zip

____________________     ___________________
Phone                                        Email Address

__________________________________________
Gift Giver's Name

__________________________________________
Gift Giver's Address

_________________________     ____________
Mastercard / Visa Card Number      Exp. Date

_________________________
Signature

Make checks payable to the Asheville Art Museum.
Memberships are tax deductible to the extent allowed by law.
Credit Card Charges: $50 level or higher.

P.O. Box 1717
Asheville, North Carolina 28802-1717
phone 828.253.3227
fax 828.257.4503
mailbox@ashevilleart.org