• MEMBERSHIP & SPONSORSHIP
• Become A Member
• Become A Sponsor
• Application
• Make A Donation
• Volunteer
• Contributors & Sponsors

Application

This form is for those who wish to join as members, renew memberships, or become a corporate sponsor. Thank you for your support to the Rogue Gallery & Art Center — you play a key role in keeping the arts alive in the Rogue Valley.

Membership Form

Would you like to: *	join as a new member renew your membership
First Name: *
Last Name: *
Business Name:
Street Address: *
City: *
State: *
Zip: *
Home Phone: *
Work Phone:
Cell Phone:
Email Address: *
Member Level: *	Youth (up to 21 yrs) $25-$34 Individual $35-$49 Family/Dual $50-$99 Patron $100-$249 Sustainer $250-$499 Benefactor $500 and Up
Enter Amount: *
I am an artist:	Yes No
I am interested in volunteering	Yes No
I am interested in classes:	Yes No
Would you like to include an additional gift?	Yes No
Gift Amount:
I have included a gift in support of:	Unrestricted Support Endowment Fund Scholarship Fund
Enter Vaidation Code: *

 

* Required

Rogue Gallery & Art Center is a 501(c)(3) non-profit organization. Your privacy is of utmost importance to us. We do not sell or give our donor list to other organizations. Thank you!