McIntosh Art Association Application

If you would like to be a member of the McIntosh Art Association,

click on "print" for our membership application.

Include with your check and mail to the address below.

McIntosh Art Association

Application for membership

Date: _________

Check level of membership desired:

______ Active ($24.00)

_______Family ($30.00)

______ Patron ($24.00) mailings only

Name: _______________________________

Address: _____________________________

Ctiy: _______________, State: ________ Zip: __________

Phone: ____________________

Email: ____________________

Website Address: _________________________

Are you willing to act as a gallery host/hostess?:________

Please make checks payable to:

McIntosh Art Association, Inc.

P.O. Box 2103

Darien, GA 31305