New Membership

Please enter your information on this form and then press the Continue to Payment button to complete your renewal.

The Art Gallery of Windsor respects your privacy and information gathered will be kept in confidence. Credit card numbers are not stored in AGW servers.

This membership is for me.
This is a gift membership. Choose one of the options below and enter the recipient information to the right. You will enter your information on the next (payment) page.
Please send the membership card and information to me (the purchaser) and I will inform the recipient.
Please send the membership card, welcome e-mail message, and information to the recipient with the following message:
Type:
+ Donation:
$
A charitable tax receipt for the amount of your donation will be issued.
First Name:
Last Name:
Organization:
Address:
City, Province:
Postal Code:
E-Mail Address:
Home Phone:
Work Phone:

Joint Membership (optional)

Relation:
First Name:
Last Name: