New and Renewal Membership Application

Please Choose One *

I'm joining GVA for the first time

I'm renewing

I'm a former member rejoining GVA

Name *

Address *

City/State *

Zip *

Phone *

E-mail *

Check here if any of your contact information has changed since your last renewal

yes

Newsletter *

Membership Fee *

Individual Membership Dues: $40.00 (per year from September 1st through August 31st)

Student Membership: $20.00

Family Plan: One full fee + 50% discount for each adult (18+). List family names below.

Donation to Grand Valley Artists (501c3) $

*Donation for the Bill Kubiak membership fund $

To be considered for a Kubiak Scholarship, please document financial hardship in a letter to the GVA board and submit it via Mary Baine.
*Click here to learn more about the Bill Kubiak membership fund. Direct membership questions to Mary Baine at marymbaine@gmail.com.

Total Amount * $

please add your membership fee(s) and any donation you would like to make, and enter it here