Organizational Membership

Organizational Membership
Today's Date

MonthDayYear
Date
Expiration Date

MonthDayYear
Date
Today I am
Name of Organization / Company
Your Name

First NameLast Name
Title
Email
example@example.com
Phone Number

Area Code (XXX)Phone Number XXX-XXXX
Organization / Company Mailing Address:

Street Address

Street Address Line 2

CityState

Zip Code
Organization / Company Website
Should we contact you or someone else about membership updates?
Secondary Contact Name

First NameLast Name
Secondary Contact Email
example@example.com
Secondary Contact Phone Number

Area Code (XXX)Phone Number XXX-XXXX
Organization / Company Type
Check this box if your organization predominantly serves or engages ALAANA (African, Latinx, Arab, Asian, or Native American) communities:
Organization / Company Category
Please select the category that BEST describes your focus.
Organization / Company Discipline
Please select the discipline that BEST describes your focus.
Optional: select any additional disciplines that describe your organization / company:
How did you hear about us?

Other
Did any of our communications help you remember to renew?

Other
Comments / Notes
Membership Level

Arts Alliance Illinois membership is pay-what-you-can. Your suggested membership contribution is based on your organization's annual operating budget. In addition to your membership benefits, your contribution supports the development of resources, policies, and funding opportunities for the Illinois creative sector.
Your organization / company's annual budget is under:
Annual Membership (Under $100k)
Annual Membership (Under $250k)
Annual Membership (Under $500k)
Annual Membership (Under $1M)
Annual Membership (Under $2.5M)
Annual Membership (Under $5M)
Annual Membership (Under $10M)
Annual Membership (Under $25M)
Annual Membership (Under $50M)
Annual Membership ($50M+)
How much would you like to pay for your annual membership?
USD
Payment Method
Membership amount
Membership amount with fees
Subtotal
Total Due

prevnext( X )
USD

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Questions? Please email membership@artsalliance.org.
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Arts Alliance Illinois is a 501(c)(3) organization, FEIN 36-3177592. No goods or services were given in exchange for your contribution. Your contribution is tax-deductible to the extent allowed by law.
Should be Empty:

Organizational Membership

Membership Level

Total Due