International Sculpture Center
 


Membership & Subscription Application ( * = Required Fields)
Click here for a printable version of this form to apply by mail or fax

Membership/Subscriber Information

*Please Choose One:
New Renewal Gift


*Member/Subscriber Type: (Place your mouse pointer over the links below to view associated benefits)
Basic Member
$95.00
Professional $350.00
Associate
$200.00
University $170.00
Student/Young Professional
$60.00
Library $100.00
Senior (65+)
$60.00
Subscriber: Sculpture Magazine $50.00
(An additional $20 U.S. applies for those living outside the U.S., Canada or Mexico)

Enroll in Automatic Annual Renewal:

Affiliated Sculptor Group or Promotional Code:

($15.00 discount subject to verification; does not apply to Subscriber. To add your group to the list, contact Johannah Hutchison)

Salutation:
*First Name:
Middle:
*Last:
*Email: An order confirmation will be sent to this email address.
*Daytime Phone:
Fax:


Alternate Shipping- Please fill in shipping information only if the recipient's address differs from your billing address. -
Shipping Address:
Shipping City:
Shipping State/Province: <% Dim sql Dim rs sql = "" sql = "Select StatesS from [US States] Order By StateID" set rs = server.CreateObject("ADODB.recordset") rs.open sql, SCULPTURE %>
Shipping Zip/Postal Code:
Shipping Country:
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