Membership Form

Membership Form

Please provide the following:
Name*

FirstLastSuffix
Address*

Address

Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.
Email*

Confirmation EmailPlease enter you email twice
Date of Birth*

DayMonthYear

Select one of the Annual Membership Tiers:*

Student/Educator & Veteran Membership

$25 for each year

Artist

$35 for each year

Individual

$40 for each year

Family

$150 for each year

Patron

$500 for each year

Sponsor

$2,000 for each year

Credit Card

Should be Empty: