Membership Application
Personal Information
* Create a Login Name:
* Login Password:
* Retype Password:
* First Name:
Middle/Initial:
* Last Name:
Birth Date: / /
* Home Address:
* City:
* State:
* Zip Code: -
* Home Phone:
Fax:
* Email:
Email 2:
Web Site:

Annual Membership Fees
* Membership: $40 - Artist Senior
$55 - Artist
$145 - Creative Professional
$45 - Community Core
$25 - Community Core Student
$35 - Community Core Senior
$250 - Patron of the Arts
$500 - Legacy Circle
$75 - Small Arts Organization (Up to 10 members)
$525 - Medium Arts Organization (Up to 30 members)
$1500 - Large Arts Organization (Up to 50 members)
Creative Professional - Student
$70 - Creative Professional Senior
$75 - Community Liaison
$75 - Organization Single Representative
Check if you would like to automatically renew your membership next year.
Additional Donation: