Membership Renewal

Firstname

Lastname

List media that you work in indicating your primary medium first:

E-Mail Address

Membership Level:
---Student - $10.00Patron - $15.00Artist - $20.00Family - $25.00

Membership Disclaimer
I agree:
By submitting this form you assert you are at least 18 years old and hereby agree to the sharing of this information in print and electronic form with other members of the Dublin Art League for use in the promotion of Art League activities and individual member activities such as but not limited to mailing and emailing announcements for shows and other league or member sponsored art related events. You agree to allow the Dublin Art League to use images of you and images that you share of your art for promotional materials in print or digital media until the exhaustion of such materials. Membership renews on September 1st of each year.

Please indicate your method of payment:
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