Thank you for signing up for an annual membership in the Kitson Arts Alliance (KAA)! Please select from the annual membership options below.Annual Membership Type*Business / OrganizationIndividual / PersonalMember Name*As it will appear in the online registry.Contact NameIf different from Member Name First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone 1*Type of Phone NumberHomeCellWorkPhone 2Type of Phone NumberHomeCellWorkEmail* Online Registry*Do you want to be included in our online registry at NorthBranchArtTrail.com?YesNoInstructions*Please tell us about what you do so that we may complete our online registry.Product Name*Membership Options - Business / Organization*Choose an optionBusinessOrganization / NonprofitMembership Options - Individual / Personal*Choose an optionIndividual: Artists & CuratorsIndividual: Artisans & AgriculturalistsIndividual: Writers & PerformersIndividual: Friends of KAADiscounts We offer discounts for any Senior or Student individual memberships! Just enter the correct code to receive 50% off your individual membership. Not valid for business or organization memberships. Student Discount Code: student Senior Discount Code: seniorCoupon Total $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Expiration Date Security Code Cardholder Name CommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.