JotForm

Windmore Membership/Contributors

Complete the form below to become a member of Windmore Foundation for the Arts
Name

First Name Last Name
E-mail
Phone Number:

- Area Code Phone Number

Address:

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Birth Date:

Month Day Year
Where did you hear about us?

Co-Worker, Friend, or Family Member Internet Facebook News Article Other option
Memberships

Family $ 45.00

Individual $ 35.00

Junior $ 15.00

Contributing $ 100.00

Patron $ 250.00

Sponsorship $ 500.00

Benefactor $ 1,000.00

Champion $ 5,000.00

Total: $ 0.00
Should be Empty: