Klamath Art Association and Gallery Membership Application/Renewal Form and Address Change Notification
The Klamath Art Gallery is a non-profit membership supported gallery. Every member is a valuable supporter! Membership benefits are huge! Networking within the community, and learning about statewide opportunities to view and sell artwork or photography, keep KAA members extremely well informed. NEW for members…rental display panels available for 1 week rentals.
Please fill in the information below COMPLETELY EACH AND EVERY TIME YOU PAY or RENEW!!! Make a check payable to the Klamath Art Association.
Mail this form to: KAA, P.O. Box 955, Klamath Falls, OR 97601
(Please print)
Name:____________________________________________________________________________________
Street:_____________________________________________Apt.______________________________________
City:_______________________________________________
State:______________________ ZIP______________________
Phone#_____________________________________________ E-mail:______________________________________________
Date Paid:__________________________________________
Signature:__________________________________________
Art Media(s): _________________________________________________
*Website: ___________________________________________
Dues and Donations:
Senior (over 60) / student $ 35 _________________
Single $ 40 _________________
Family $ 50 _________________
Your website linked* $ 5 _________________
Business Partner $ 55 _________________
Patron $ 65 _________________
Bronze Patron $ 100 __________________
Silver Patron $ 250 __________________
Gold Patron $ 500 __________________
Platinum Patron $ 1000 __________________
Donation __________________
* If you would like to have your web site linked to the KAA site, just add $ 5.00 to your yearly dues
Total due $______________
Paid by ( circle one) Credit Card Cash Check
NOTE: Upon receipt of your completed application, it will be sent by the Treasurer to the Membership Chair who maintains accurate membership records, so members need to fill them out accurately and completely each time they join or renew .
The KAA Privacy Policy prohibits officers and board members from divulging your personal information.
[Tech notes for Macintosh Computer Users Only: If you wish to print out content from our web page, please use Safari internet browser.]