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Membership in Iowa Volunteer Lawyers for the Arts


Thanks for your interest in Iowa Volunteer Lawyers for the Arts. Annual membership information and online secure signup/pay is provided through Blacktie-America.com. IF YOU ARE APPLYING FOR A FREE INDIVIDUAL ARTIST MEMBERSHIP, THERE IS NO NEED TO SEND US YOUR CREDIT-CARD BILLING OR CREDIT-CARD ADDRESS INFORMATION; PLEASE FEEL FREE TO LEAVE THOSE FIELDS BLANK!
First Name:
Last Name:
Address:
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State: (ignore for non-US transactions)
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Email Address:
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Credit Card Billing Address
 
 If the address where you receive the credit card bill is different than above, please enter it here.
Address:
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How did you hear about us? A Member Word of Mouth Web or Search Engine Advertisement IAVLA.org Social Media Other
IF YOU ARE APPLYING FOR A FREE INDIVIDUAL ARTIST MEMBERSHIP, THERE IS NO NEED TO SEND US YOUR...
Charge Amount:
$0.00 - Artist - Individual (Please Leave Credit-Card Fields Blank!)
$100.00 - Arts Organization - Under $50K
$200.00 - Arts Organization - $50K to $100K
$300.00 - Arts Organization - Over $100K
$400.00 - Arts Organization - Over $200K
$0.00 - Artist - Student (Please Leave Credit-Card Fields Blank!)
$100.00 - Arts - Supporter
$50.00 - Lawyer - Individual
Make this a Recurring Transaction?  
By default your card will only be charged today, with no recurrence set up. However, you can use the fields below to specify a recurring payment on the schedule of your choosing. Change the recurrence to specify how often your transaction will be processed. Specify an end date to stop transactions after a certain point in time (if you are unsure, use the expiration of your credit card).
Recurrence:
End Date: (required) mm/dd/yyyy
Pay by Credit Card  
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Credit Card Number:
Credit Card Expiration (mm/yy): /
Name On Card:
C V V Value:
 
IF YOU ARE APPLYING FOR A FREE INDIVIDUAL ARTIST MEMBERSHIP, THERE IS NO NEED TO SEND US YOUR CREDIT-CARD BILLING OR CREDIT-CARD ADDRESS INFORMATION; PLEASE FEEL FREE TO LEAVE THOSE FIELDS BLANK!