Membership Form

Name *

First Name Last Name

Address: *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail *

Phone Number: *

Area Code Phone Number

Membership Options *

Individual Artist (Annual) $ 50.00

Student Artist - 18 years + younger (Annual) $ 40.00

Senior Artist - 65 years + older (Annual) $ 40.00

Family- Spouse + under 18 (Annual) $ 70.00

Friend - Non-Artist (Annual) $ 30.00

Total $ 0.00

This Membership is:

New Renewal

If you would like to make an additional donation please visit our Donate page.

By clicking the "Pay Now" button you are submiting your online application and will be re-directed to submit your payment (PayPal, Credit or Debit card). Once we receive your payment, we will contact you about your Membership.

Thank you!

You can also complete this page, print it out and mail it with a check made payable to: Stamford Art Association, 39 Franklin Street, Stamford, CT 06901