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New Member Form

Organization Information


Is the address above where you would like to receive mail?


Please include the full url: example: https://www.organization.org

Please include the full url: example: https://www.facebook.com/ArtsLongIsland

Please include the full url: example: https://www.instagram.com/ArtsLongIsland

Please include the full url: example: https://www.twitter.com/ArtsLongIsland

Requirements: Format - JPG or PNG | File Size - 1MB or less

Primary Contact Information

Please list the person in your organization who should be the primary contact regarding Membership information.


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This email address will appear in our Member Directory (we recommend using an address used for general inquiries.
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Are you an organization in which at least 50% of the board of directors identifies as Black, Indigenous, and/or People of Color (BIPOC), whose executive director or 50% of senior leadership (decision-makers) identify as BIPOC, and whose mission statement and/or programs aim to predominately serve BIPOC communities.

Please describe how the organization aims to predominately serve BIPOC communities:

Membership Dues and Payment

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

Annual membership dues are based on your organization's reported annual operating budget, see chart below:

Annual Operating Expenses

Membership Dues
Under $250,000 $75.00
$250,000 - $499,999 $150.00
$500,000 - $999,999 $250.00
$1 - $4.9 Million $375.00
$5 Million and above $475.00
Commercial (for-profit) Entities $500.00
Educational Institutions $2,500.00