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ArtPRIDE Membership Form

Please fill out the membership form below. Required fields are highlighted.

Please enter your contact information.

Title: Mr.
Ms.
Mrs.
Dr.
Hon.
Other

First Name:

Middle Name:

Last Name:

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Organization:

Address 1:

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City:

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ZIP/Postal Code:

Day Phone:

Eve Phone:

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Home Page Url:

I am interested in the following activities:

Activities: ArtPRIDE Congress
Advocacy Days [Wash.DC & Trenton]
Special Events
Other

Other Activities:

Membership Categories and Dues

By Budget
To $49,999 ($70)
$50,000 - $99,999 ($80)
$100,000 - $249,000 ($135)
$250,000 - $499,999 ($225)
$500,000 - $999,999 ($385)
$1 - $1.9 million ($575)
$2 - $2.9 million ($875)
$3 - $5 million ($1,100)
over $5 million ($1,300): $70
$80
$135
$225
$385
$575
$875
$1100
$1300

Artist & Staff
Any individual artist or staff member of an arts or arts in education organization.: $45

Student: $15

ArtPRIDE Advocate
Individuals with an interest in the arts, humanities, and/or arts in education.: $100

Consultants or Small Businesses: $100
$500

Corporations: $500
$1000
$2500
$5000

I wish to make a donation to the ArtPRIDE NJ Foundation
to support programs that raise public awareness of the role of the arts in New Jersey's quality of life. Contributions to the ArtPRIDE NJ Foundation are tax deductible to the extent allowed by law.

Donation:

You have the option to pay using Paypal, or to print out the confirmation data to mail in with your check.

ArtPRIDE New Jersey 165 Third St., #4A, Bordentown, NJ 08505

Phone - 609-324-2734 Fax - 609-443-3582

artpride@artpridenj.com webmaster@premieresolutions.com