WARM Membership/Contribution Form

To use this form, please print it, fill it out and mail it in to WARM, 550 Rice St., St. Paul, MN 55103

WARM Circle
of Friends

(includes member benefits)

_____$500 and up, Benefactor

_____$250-$499, Sponsor

_____$100-$249, Friend

WARM Membership

_____$75-$99, Sustaining Member

_____$50-$74, Member

_____$40, WCA Member

_____$25, Student

_____7 hours of Volunteer Service

WARM Contributor

_____$1-$49

Help WARM strengthen community financial support.

Please provide the following optional information. WARM seeks to recognize the achievements of all women artists and respects differences in ethnicity and ability.Ê This information is for statistical purposes and/or to help WARM to accommodate physical needs only.

_____African, African American, Black

_____Hispanic, Latino, Mexican American

_____Native American, Alaskan American

_____White, Caucasian, European American

_____Other________________________________

_____Blind, Low Vision

_____Deaf, Hard of Hearing

_____Physically Disabled

_____Other Disability_________________________

Contact Information

Name:
Address:
City:
State:
Zip:
Phone:
email:
Web Site (URL):

Medium

Pleace choose from the following artistic mediums for our online member directory which is searchable by medium. You may choose as many as you like.

______Ceramics

______Fiber

______Film/Digital

______Graphic Arts

______Multi Media

______Painting

______Performing Arts

______Performance/Intalation Art

______Sculpture

______Writer

______Other

Please describe your artistic medium in one sentence (absolute maximum of 128 characters):

 

 

 

 

 

 

Directory

WARM's member directory will be available only to members through a secure login at our web site. This directory allows members to see your contact information and your artistic medium. May we include you in our secure online directory for members?

_____Yes _____No

Volunteer

May we contact you for volunteer opportunities? _____Yes _____No

Thank you.

Please send this form with your check to:

WARM, 550 Rice St., St. Paul, MN 55103. 651-292-1188