Membership Signup
Member Information
First Name:
Last Name:
Address 1:
Address 2:
City:
State:
Zip:
Email:
Daytime Phone:
Evening Phone:
Mobile Phone:
Member Level Information
Giver's Name:
Level Selection:
Arts District Benefactor $1,000
Arts District Friends Supporting Member $500
Arts District Friends Patron Member $250
Arts District Friends Sustaining Member $100
Arts District Friends Member $50
Arts District Friends Student Member $30
Students must be full-time student and include name of school
Additional Gift
Company Name:
My company will match my gift
Please note that Dallas Arts District Alliance is not responsible for obtaining the matching Company gift.
Display my Name(s) on my Arts District Friend Membership Card as:
Giver Information
First Name:
Last Name:
Address 1:
Address 2:
City:
State:
Zip:
Email:
Daytime Phone:
Evening Phone:
Mobile Phone:
Purchase Information
Credit Card Tye:
Visa
Mastercard
First Name:
Last Name:
(as it appears on card)
Card Number:
Expiration Date:
01
02
03
04
05
06
07
08
09
10
11
12
/
2003
2004
2005
2006
2007
2008
Arts District Friends is a 501© (3) non-profit organization and your membership dollars are
tax deductible to the fullest extent of the law.