PAPNM Membership Form

Please fill out the following form below and then click the Submit button at the bottom.

After clicking the Submit button, you will have the option to pay online or by check.

Membership is from January to December of each calendar year. Renewal by January 31st.

Fields marked * are required.

Name*
Address 1*
Address 2
City*
State*
Zip*
Phone: Home
Phone: Work
Phone: Cell
Email Address*
Free Website Link
Type of Membership*	Artist Member (New) - $25 Artist Member (Renewal) - $25 Signature Member (New) - $50 Signature Member (Renewal) - $50 NOTE: For Signature Membership, documentation of 4 out of 5 of the required criteria listed below must* be sent by email or regular mail. Contact information Gallery representation Featured artist in a national art magazine Participation in one of more national juried shows One person show in a gallery or museum or invitation to a national show in a gallery or museum Signature status in a national art society
I'd like to volunteer!	Membership Annual paintout Publicity Other (We'll contact you)
Payment Type* You can use your credit card or PayPal account to pay online	I'll pay online with PayPal I'll mail a check