Membership Application

New and Renewing Membership Application and

Request to become an Exhibiting Member

Please complete this form with all of your contact information, clicking the Red "Submit this Form" button before moving to Black "Continue to Payment" button. This form should be used for new members, renewals and requests to become an Exhibiting Artist.

First Name

Last Name

Address

State

Phone number

City

Zipcode

Mobile

Your Email:

Request to become an Exhibiting Artist Member
Please complete this next section if you are interested in becoming an Exhibiting Artist with the AGAMI.

Interested in becoming a Exhibiting Artist

Please describe your medium and type of artwork.

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Your Submission has been accepted

Please submit your Membership form before clicking the Continue to Payment button.

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