Copy of General payment form for Artup

Please confirm the details below are correct, and click "Next" at the bottom of the page to proceed with payment.

If you have any questions, please contact Shirlee Klein at info@artup-nation.org.

First Name *

Last Name *

Foundation/Organization

Email Address *

Amount of payment *

Name on Credit Card *

Are you willing to help defray credit card expenses, by paying for our processor fee of 3%? *

Yes

your 3% Credit Card Processing Fee:

0.00

Purpose of payment *