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Renewal Form - Pay By Check
Organization Information
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Has any of your business contact information (address, website, phone number, etc.) changed?

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


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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First Name
Last Name

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This email address will appear in our Member Directory (we recommend using an address used for general inquiries.
Membership Dues and Payment
Your LIAA membership payment is based on your organization's annual operating expenses and tax status.
LIAA 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

 

Please mail your check to our temporary remote address:

Long Island Arts Alliance
19 Thorne Street
Patchogue, NY 11772