Complete the form below, print and mail it to the gallery along with your check or charge card information to become a member.

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WCAC Logo 110 Westover Avenue
P.O. Box 388, Williamsburg, VA 23187-0833
www.visitWCAC.org  /  membership@visitWCAC.net
Renew New  YOUR GIFT IS TAX-DEDUCTIBLE 
Membership Levels
 Single $45   ·|·    Family $65   ·|·    Student* $15  

 Friend of Art $150+    ·|·     Art Collector $250+  

Join the Leadership Circle ~ be part of the Kirby Art Society!
 $500+  ·|·  $750+  ·|·  $1000+  ·|·  Other $

* Single membership for students enrolled full-time in high school or college.
Enter Membership Amount:  $    
NAME(S):  
ADDRESS:  
CITY:  

   STATE  /  ZIP

PHONE - PRIMARY:

PHONE - CELL:
 		PHONE - WORK:

PHONE - OTHER:
EMAIL-1:    NAME-1: 
EMAIL-2:    NAME-2: 
ARTIST MEMBERS: 
ARTIST #1
1st Name: 
Last Name
Medium: 
Email:  
Web Gallery Fee*:  $10.00
Web Address: 
ARTIST #2
1st Name: 
Last Name
Medium: 
Email:  
Web Gallery Fee*:  $10.00
Web Address: 
Are you interested in Volunteer Opportunities?     YES  
WCAC Membership $ + Artist Web Fees
= TOTAL ENCLOSED: 		 $
PAYMENT METHOD:     CHECK: "Williamsburg Contemporary Art Center" VISA Mastercard
Charge ACCOUNT NUMBER:
  		EXP DATE:
 / 
Name on Account: Signature:
__________________________________________

* Artists Web Gallery: WCAC (TCAG) artist members are eligible to be listed in the WCAC Member Artists Online Web Gallery.

There is an annual web fee of $10 per artist to link from the Web Gallery to the Artist’s Personal Art Website.

* WEB Gallery FEES are required only if you wish to be listed in the WCAC (TCAG) Member Artists Web Gallery. You may still exhibit upstairs in the Members’ Gallery and you may participate in the Annual Members' Show regardless of whether you choose to be listed in the online Web Gallery.