JGCA Membership Application

Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Volunteer at the JGCA - Are you interested in volunteering and working in the following area(s):

Gallery Activities

Music Events

Community Events

Building & Grounds

Administrative

Interests

Arts

Music

Community

Membership Category *

$25 - Basic

$40 - Family

$100 - Sustaining

Payment Method *

What method did you use to pay for your JGCA Membership?

Cash

Check

Credit Card / PayPal / Zettle