This Membership Form is NOT to be sent online. Please complete online and then print. This form is for mailing only to:

WCA San Diego Membership
P. O. Box 881072, San Diego, CA 92168-1072

Personal Information
Name:
E-mail:
Street:

City:
 State:
 ZIP:

Phone:

Birthdate (Month & Day only):

I would like my website link in the WCA San Diego website:



Professional Area - please check applicable areas
Artist Art Historian
Art Administrator CAA Member
Collector Critic
Faculty Librarian/Slide Curator
Museum/Gallery Student
Other (please specify):


Dues Enclosed
National Membership Dues $ required
San Diego Chapter Dues $ required
Donation (Tax Deductible. We are a non-profit organization.) $ optional
S.D. Chapter Newsletter only ($5.00) $ optional
Check Enclosed for Total $ TOTAL