Indy Convergence Membership Registration
Become part of our community! You are an ESSENTIAL part of our ongoing arts and community engagement programming. To see what we did last year, check out our 2018 Report (https://bit.ly/2VI9PUn).

Members enjoy inside info on events, opportunities for discounted or advance tickets, discounted rental rates, and opportunities to travel with us to our sister organizations in Haiti. Everyone is invited to our Collaborative Coffees every Friday 2-5 pm at Indy Convergence, and we look forward to seeing you at our Member Appreciation Meetup yearly!

Starting at $5 per month, complete the PayPal sign up (link) and then tell us more about you with this form to become part of our community!

Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Date of Birth
MM
/
DD
/
YYYY
Are you a Near West Resident?
Are you interested in hearing about events for A Rising Tide, our Summer event series on the White River?
What additional benefits are you interested in seeing?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Salesforce.com. Report Abuse - Terms of Service