Wisconsin Assembly for Local Arts - Join Us!

WISCONSIN ASSEMBLY FOR LOCAL ARTS

Join Us!

Online Form

Let the Assembly be your connection to the extensive network of Wisconsin arts and cultural issues and resources!

Contact Information
Organization
Contact Person	* required field
Title
Address 1
Address 2
City
State
Zip Code
Phone	( ) - * required field
Fax	( ) -
Email	* required field
Website

Dues
Organizational Member		Annual Dues
Please select your budget size:
under $25,000		$75
$25,001-$100,000		$100
$100,001-$250,000		$150
over $250,000		$225

Individual Member		Annual Dues
Champion		$500
Benefactor		$250
Sponsor		$100
Partner		$75
Member		$50
Association		$25

Additional Contribution
I support the arts in Wisconsin, and wish to make an additional tax-deductible contribution of $

Total Dues and Contributions
$
What means of payment do you intend to use? Online: secure credit card payment (using PayPal) By Mail: check, money order, or credit card By Fax: credit card only

Thanks so much for joining the Wisconsin Assembly for Local Arts, and connecting to the statewide arts netwok!. As a member of the Assembly, you help ensure that Wisconsin is a place where the arts flourish and thrive, and are accessible to everyone in the state.

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