Jazz Forum Arts · GIFT: Membership (Stripe)

Give the Gift of a 2023 Membership

Credit/Debit Card

When you gift a Jazz Forum Membership, we send the Membership Welcome Package to your address so that you can give it to the recipient in person.

Note: If you would like us to send the Membership Welcome Package directly to the recipient, please include their address in the "Comments" field at the bottom of the form.

Your gift/donation is tax deductible to the extent allowed by law.

Purchaser (Your) Information

Your Name

*

First Name

Last Name

Your Address (required for tax purposes)

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Your Email

*

Verify Email

*

Your Phone (optional)

Recipient Information

Name

*

First Name

Last Name

Nickname (optional)

E.g. "Bill" instead of William.

Add Spouse / Partner?

If yes, we will include an extra Membership Card for the recipient's partner.

Yes

Spouse / Partner Name

First Name

Last Name

Membership Information

What level of Membership are you giving?

Membership Donation Amount

*

$250

$500

$1,000

$2,500

$5,000

$10,000

Membership Level

*

Choose the level of membership that corresponds with your Membership Donation Amount.

Other

Comments

If you would like us to send the Membership Welcome Package directly to the recipient, please include their address here.

Anonymous Donation?

Yes