Arts & Culture Organization Articipant Registration Form
PLEASE COMPLETE THE 4 SECTIONS OF THE FORM: (1) Contact information (2) Promotional information (3) Survey (4) Category options.
* Required
(1) Contact Information
The next three questions are for communication between you and Artlink and will not be made public.
Contact Name
*
Your answer
Contact Phone (555-555-5555)
*
Your answer
Contact E-Mail
*
Your answer
(2) Promotional Information
The following information will be used as supporting information when promoting events.
Name of Organization
*
Your answer
Website
*
Your answer
Facebook
*
Your answer
Twitter
*
Your answer
Instagram
*
Your answer
Organization Street or Mailing Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Organization Phone
*
Your answer
In 25 words or less, please give a description of your organization. ( Note: Artlink may edit for promotional use.)
*
Your answer
If in central Phoenix, in which district are you located?
*
Roosevelt Row Arts District / Garfield
Historic Grand Avenue
Downtown Phoenix core
Phoenix Warehouse District
Central Corridor
Other:
(3) Tell us who your organization serves
The following questions are OPTIONAL. This information will help us get to know the articipants we work with a little better so we can articulate who we are serving. Individual responses will NOT be shared.
Average age
Choose
18 - 25
26 - 35
36 - 45
46 - 55
56 - 65
66 - 75
76 - 85
86 - 100
Prefer not to answer
How many patrons do you serve annually?
Your answer
Do you operate as a nonprofit or for profit entity?
Nonprofit
For profit
Prefer not to answer
What is the ethnicity of the constituency that your organization primarily serves?
Choose
Caucasian
Black of African American
Asian
Native Hawaiian of Pacific Islander
Hispanic or Latino
Other
Prefer not to answer
Sex
Choose
Male
Female
Prefer not to answer
Does your organization serve U.S. Veterans?
Choose
Yes
No
Prefer not to answer
Is your location ADA accessible?
*
yes
no
n/a
How did you hear about Artlink Articipation?
*
Your answer
(4) Articipant Categories and Fees
The following is the list of Articipant categories and corresponding fees. Please select the one category that best represents you.
Arts Organization:
Cultural Organization < $250K operating budget: $84
Cultural Organization > $250K operating budget: $144
Performing Arts Organization < $250K operating budget: $84.00
Performing Arts Organization > $250K operating budget: $144.00
Producing Organization < $250K operating budget: $84.00
Producing Organization > $250K operating budget: $144.00
How are you Paying?
*
Check - please mail to: Artlink Inc. P.O. BOX 3426, Phoenix, AZ. 85030-3426
Credit Card via Paypal (see step #3 below)
Other:
Submit
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