WimberleyArts.org Membership Application

We would like to add your name and image into our online Membership Directory. Please e-mail us an image (head shot, business logo, etc.) that you would like to include to membership@wimberleyarts.org

Individual Member - $50.00

Couple/Partners - $75.00

Organization - $100.00

I want to have my membership renewed automatically.

New Membership Renewal Membership Gift Membership

Gift Membership Recipient Information

Send email notifying recipient of gift membership

First Name *

Last Name *

Email *

Address Line 1 *

Address Line 2

Phone

City *

State *

Zip *

Your Contact Information

First Name *

Last Name *

Email *

Address Line 1 *

Address Line 2

Phone *

City *

State *

Zip *

Business Name

Spouse Name

Spouse/Partner Email The field Spouse/Partner Email must be an email.

Spouse/Partner Phone The field Spouse/Partner Phone must be a phone number.

Area of Focus

Organization Principals The maximum length for the field Organization Principals is 500 characters.

Contact More Info The maximum length for the field Contact More Info is 5000 characters.

I want to make an additional contribution.

Donation Amount $

Yes, I would like to include the additional processing fee to the payment.

Total Amount Due: $50.00

Your Payment Method

Pay By Check

Your Billing Information

My billing information is the same as my contact information.

First Name *

Last Name *

Address Line 1 *

Address Line 2

City *

State *

Zip *

Your Payment Information

Credit Card Number *

CVV Number * What is this?

Credit Card Type *

Expiration Month *

Expiration Year *

Additional Comments