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Bismarck Art & Galleries Association Membership Form

Cardholder Information
* Cardholder First Name
* Cardholder Last Name
* Cardholder Phone Number
* Cardholder Email
* Cardholder Billing Address
* Cardholder Billing Zip
* Membership/Class/Square Foot Entry
Amount
* Select Amount $30.00
$40.00
$50.00
$100.00
$
* Required Fields