SLC Arts Council

Gift Membership Form

Would you like to purchase an SLC Arts Council membership as a gift for someone you know? It's as easy as filling out this simple form! If the gift recipient is already a member, we'll add one year onto their membership.
Your Name *: Field not valid (required or bad value) Your Phone Number *: Field not valid (required or bad value) Your E-mail Address *: Field not valid (required or bad value) Your Mailing Address *: Field not valid (required or bad value) Your City *: Field not valid (required or bad value) Your State *: Field not valid (required or bad value) Your Zip Code *: Field not valid (required or bad value) Do you wish the recipient to know this gift is from you? *: YES--Please include my name when notifying the recipient. NO--I wish to remain anonymous. Field not valid (required or bad value) Name of Recipient *: Field not valid (required or bad value) Mailing Address of Recipient *: Field not valid (required or bad value) City *: Field not valid (required or bad value) State *: Field not valid (required or bad value) Zip Code *: Field not valid (required or bad value) Phone Number of Recipient *: Field not valid (required or bad value) Additional Comments?: Field not valid (required or bad value) Amount of Gift *: $15 $25 $35 $50 $100 $250 $500 $1000 Field not valid (required or bad value) Do you wish the recipient to know the amount of your gift? *: YES--Please include the amount of my gift when you notify the recipient. NO--Please keep the amount of my gift confidential. Field not valid (required or bad value) Payment Method *: Mail a check Credit card by phone (call us at 315-265-6860) Stop by the Arts Council Field not valid (required or bad value)      Powered by CK Forms