Jazz Forum Arts · Club Membership (Stripe)

Become a 2023 Member

Credit/Debit Card

To submit your membership donation with check → click here.

If you want to give a membership as a gift → click here!

Thank you for joining the life of the Jazz Forum. The club is yours and depends on your support. Your donation is tax deductible to the extent allowed by law.

Contact Information

Name

*

First Name

Last Name

Nickname (optional)

E.g. "Bill" instead of William.

Email

*

Verify Email

*

Address (required for tax purposes)

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Phone (optional)

Add Spouse / Partner?

If yes, we will include an extra Membership Card for your partner. Necessary if you want both names included in the tax acknowledgement letter.

Yes

Spouse / Partner Name

First Name

Last Name

Spouse / Partner Email

Verify Email

Membership Information

Membership Donation Amount

*

$250

$500

$1,000

$2,500

$5,000

Membership Level

*

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

Other

Comments

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Anonymous Donation?

Yes