ARTS-DANCE MEMBERSHIP FORM

ARTS-DANCE MEMBERSHIP FORM
* Denotes Required Fields
TYPE OF MEMBERSHIP (Check all the applies)

NEW MEMBERRENEWING MEMBERASSOCIATE MEMBER$100 CLUB
Name*

First NameLast Name
Organization
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number

ARTS MEMBERSHIPS (Check The ARTS Membership's you are paying for)

ARTS INDIVIDUAL MEMBERSHIPARTS ANNUAL MEMBERSHIP

$25.00

ARTS COUPLE MEMBERSHIPARTS COUPLE MEMBERSHIP

$50.00

ARTS ASSOCIATE MEMBER

$100.00

ARTS $100 CLUB MEMBERARTS $100 CLUB MEMBER (Individual)

$100.00

Total

$0.00