Member Registration First Name Last Name Street Address City State Zip Country Phone Email Address Is this a new membership or a renewal? Is this a new membership or a renewal? New Member Renewal Would you like to volunteer? Would you like to volunteer? Yes No I would like more information What level are you wanting to sign up for? What level are you wanting to sign up for? Student - $25-39 Friend - $40-74 Individual Artist - $50 Artist w/ spouse - $85 Dual Artist - $100 Family - $75-124 Donor - $125-249 Patron - $250-499 Supporter - $500-999 Benefactor - $1,000-4,999 Associate - $5,000-9,999 Partner - $10,000 & Up Submit If your company has a matching gift program, your gift is eligible for a match.