Windmore Membership and Contribution Form

Windmore Membership/Contributors

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

First Name Last Name
E-mail
Main Phone:

Address:

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

Birth Date if under 18:

Month Day Year
Where did you hear about us?

Co-Worker, Friend, or Family Member Internet Facebook News Article
Memberships and Contributions
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Family $ 45.00

Individual $ 35.00

Junior $ 25.00

Contributing $ 100.00

Patron $ 250.00

Sponsorship $ 500.00

Benefactor $ 1,000.00

Champion $ 5,000.00

Total $ 0.00
Should be Empty: