Organization Plus Member Form
Pay By Check

Organization Plus Form
(Pay By Check)

An Organization Plus Membership is for a business or organization that provides arts and health integration services as part of their organization or business. This membership allows for the organization to have one Professional Membership included in their initial membership fee of $45, andfor the lower cost of $15 for each additional professional member up to two more professional members.
(membership fee includes one Organization Plus one Professional Membership)
PLEASE FILL OUT ALL REQUIRED FIELDS.

Essential Info

Please send check in the amount of $45.00 to this address and write invoice number on check in the memo section.

Arts For Health Sarasota-Manatee
7727A Holiday Drive
Sarasota, Fl. 34231
Business Name
Best describes business.
If you selected Other Organization/Company use field below to clarify other.
In the Location (address) field, if your location (address) is a private residence and wish not to have address listed in directory, then please just type in your city and zip.
If you would like to leave your private mailing address type it here. It will not be shown in the the directory.
The contact person full name of business.

Organization Info

Organization's information.
http(s)://example.com or http(s)://www.example.com

Organization's Social Accounts

Plus One - Practitioner

Included Professional Member for organization.

Optional Plus Practitioners - Add Listings

Cost: $15.00
Cost: $15.00
Cost: $15.00 one plus practitioner, $30.00 both plus practitioners
Please send check to the following address:

Arts For Health Sarasota-Manatee
7727A Holiday Drive
Sarasota, Fl. 34231
In the memo, please put invoice number of membership.
Thank you!

Drop a file here or click to upload Choose File
Maximum upload size: 2.1MB
A profile picture is required, organization business logo or photo that best represents organization.
When uploading a new photo:
1.) Upload new photo
2.) Uncheck the old photo
3.) Then click on Submit button
Sending