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New Member Form
Organization Information
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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Is the address above where you would like to receive mail?

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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Primary Contact Information
Please list the person in your organization who should be the primary contact regarding Membership information.
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First Name
Last Name

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Additional Contacts

Please list other staff members who would benefit from hearing from LIAA about industry updates, research, visibility opportunities and capacity building programs.

Contact #2

First Name
Last Name

Contact #3

First Name
Last Name

Contact #4

First Name
Last Name

More staff members who would like to be in the know?

If you have any other staff members who would benefit from hearing from LIAA about industry updates, research, visibility opportunities and capacity building programs, please email their contact information to Lauren Wagner at lauren@longislandartsalliance.org

 

Membership Dues and Payment
Your LIAA membership payment is based on your organization's annual operating expenses and tax status.
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