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*Artist (Visual Arts) - $40.00 per yearArtist (Performing Arts) - $40.00 per yearIndividual - Friend of the Kitson Arts Alliance - $40.00 per yearBusiness (for profit) - $80.00 per yearOrganization (non-profit) - $80.00 per yearMembership Options - Artist / Individual*Choose an optionRegular MembershipSenior Discount - 50% offStudent Discount - 50% offMember 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*Discounts 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* Artist / Individual Membership - $40.00 Artist / Individual Membership with Senior or Student Discount - $20.00 Business / Organization Membership - $80.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name EmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.