Associate Not-For-Profit Member Application

Associate Membership for Nonprofits – A Westchester-based, not-for-profit organization, group or association that offers cultural programming. This includes such community-based organizations as libraries or the cultural departments at universities (e.g., dance, theater, or visual arts programs operating under the aegis of the university).

Annual membership is from January to December, and contingent on the approval of the Affiliate Committee of the ArtsWestchester Board of Trustees. Dues are based on your annual budget.

YES! We would like to become an associate cultural organization for the year 2011. Please DO NOT send payment at this time. You will be invoiced once your application has been reviewed and approved.

Step 1 of 2

50%

Organizational Budget (and associated Arts Council Dues)*
- $0 - $49,999 (Dues: $100.00)
- $50,000 - $99,999 (Dues: $150.00)
- $100,000 - $299,999 (Dues: $200.00)
- $300,000 - $499,999 (Dues: $250.00)
- $500,000 - $999,999 (Dues: $300.00)
- $1 Million and up (Dues: $400.00)
Contact Information
Organization's Legal Name*
Organization (also known as)
Address*
Street AddressAddress Line 2CityStateZIP Code
Primary Contact Person*
FirstLast
Title
Telephone*
Fax
E-mail*
Website
Legislative District Information
(Please only use numeral values. Also, do not leave blank.)
You can obtain county district information at:http://westchesterlegislators.com/legislators.html
State information is available at: http://assembly.state.ny.us/mem/ and http://www.nysenate.gov/senators
For US Representatives: http://www.contactingthecongress.org
County District*
NYS Senate*
NYS Assembly*
US Congress*

Associate Not-For-Profit Member Application

Step 1 of 2

Contact Information

Legislative District Information

Please complete for inclusion in the affiliate/associate directory

Executive Contact

Development/Grants Contact

Marketing/Public Relations Contact

Education Contact

Organization Background

Please include the following with your application

Associate Not-For-Profit Member Application

Step 1 of 2

Contact Information

Legislative District Information

Please complete for inclusion in the affiliate/associate directory

Executive Contact

Development/Grants Contact

Marketing/Public Relations Contact

Education Contact

Organization Background

Please include the following with your application

Quick Links