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Petcasso Membership
Your Contact Information
Your Full Name
*
First Name
Last Name
Membership
Are you a current member of the Hammond Regional Arts Center?
Yes
No
No, but I would like to hear more about membership.
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Phone
*
Email
*
Verify Email
*
Join the Hammond Regional Arts Center newsletter?
select one
Yes
No
Your Pet
Are you buying more than one pet membership?
Yes
No
Pet's Name
*
First Name
Last Name
Second Pet's Name
First Name
Last Name
Third Pet's Name
First Name
Last Name
Petcasso Membership
*
Quantity
$10
-
Per Pet (good for 1 year)
0
1
2
3
4
5
6
7
8
9
10
10
Recurring Donation?
select one
Yes
No
Pet Photo
For our website and social media, please upload a clear, high-resolution photo of your pet. One pet per photo. Prefer photos without people.
Pet Photo (2nd Pet)
For our website and social media, please upload a clear, high-resolution photo of your pet. One pet per photo. Prefer photos without people.
Pet Photo (3rd Pet)
For our website and social media, please upload a clear, high-resolution photo of your pet. One pet per photo. Prefer photos without people.
Add 3% to my total amount to help cover the payment processing fees
