Out-of-the-Box City Submission Form

Nicole Membership Integration Test

Membership Type*
- New Membership
- Renew Membership
- Gift Membership
Membership Level*
- Young Explorer (for one; age 29 and under) – $30.00
- Individual (for one) – $55.00
- Family (for two) – $90.00
- Patron (for two; support DAF's growth) – $250.00
Renewal Options*
- Yes
- No
Birth Date (required for Young Explorer membership, optional for all others)*
MM slash DD slash YYYY
Additional donation to support Denver Architecture Foundation
Purchaser's Name*
Purchaser's First Name Purchaser's Last Name
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone
Email*
Main Gift Recipient Name*
Main Gift Recipient First Name Main Gift Recipient Last Name
Main Gift Recipient Email*
Family Member Name
Family Member's First Name Family Member Last Name
Family Member Email
Additional Comments
Comments
This field is for validation purposes and should be left unchanged.