ATHICA Membership
NOTE: If you wish to pay by check, please print out the form and mail with payment to ATHICA, 675 Pulaski St., Suite 1200, Athens, GA 30601.
Email
*
example@example.com
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Please indicate any of the following that describe your relationship with ATHICA.This information will help us better understand ATHICA's supporting audience.
Artist
Art Lover
Business Owner
Neighbor
ATHICA Board Member
Other Arts Organization
Media
Other
Membership Year (ATHICA Membership runs on the calendar year (January-December) in order to support the annual members' showcase in January. Please indicate which year you wish your membership to take effect.)
*
2023
2024
2025
Other
Membership Levels
*
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next
( X )
Artist/Student/Individual
$
25.00
Family
$
50.00
Sustainer
$
100.00
Bronze Patron
$
250.00
Silver Patron
$
500.00
Gold Patron
$
1,000.00
Platinum Patron
$
2,500.00
Enter coupon
Apply
Total
$
0.00
Credit Card
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