Jansen Art Center


Become a Member
First Name *
Last Name *
Email *
Phone *
Mailing Address *
City *
State/Province *
Zip *
Membership Level *	Individual ($35-74) Artist ($75-499) Family ($125-499) Friend ($500-1,499) Benefactor ($1,500+)
Additional Family Members (up to four, Family Memberships only)
Names of Family Members


Enter the amount of support within your chosen membership level below.
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I would like to auto-renew annually *	Yes No

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