Supporter Membership | Skrach Art CBO

Section A: Membership Tier

Select your preferred annual membership category.

Silver
KES 2,000 / yr

Gold
KES 5,000 / yr

Platinum
KES 10,000 / yr

Diamond
KES 25,000 / yr

Section B & C: Personal Details

Full Name (Surname First) *

Preferred Name / Alias

Date of Birth *

Gender *

National ID / Passport No. *

Nationality

County of Residence *

Sub-County / Area

Postal / Physical Address *

Email Address *

Primary Phone *

WhatsApp Number

LinkedIn / Social Handle

Passport Photo (Required, Max 5MB, JPG/PNG) *

Section D: Professional Background

Occupation / Profession *

Employer / Organization

Highest Level of Education

Field of Study / Specialization

Which best describes you? (Tick all that apply)

Artist / Creative Educator / Trainer Business Owner Youth Worker Scratch Art Alumni Community Leader Diaspora Member Other

Section E: Motivation & Interests

Why do you wish to become a Member?

Support youth empowerment Give back to community Network with creatives Participate in programs Gain visibility Invest in local talent Mentorship Other

Which program area interests you most? (Tick up to two)

Visual Arts Music & Performing Arts Creative Writing Photography Film & Animation Fashion & Design Digital Arts General / All

How did you hear about Skrach Art Membership?

Section F: Supporter Subscription Payment

Upon submitting this application, you will be automatically redirected to our secure Checkout Portal where you can pay your subscription fee using M-Pesa Mobile Money or Credit/Debit Cards.

Section G: Voluntary Contribution

In addition to your subscription, are you willing to contribute any of the following? (Optional)[cite: 5]

Skills / Expertise Materials / Equipment Professional Services Event Space / Venue Referrals / Fundraising Volunteer Time

Describe how you would like to contribute (Optional)

Section H: Declaration

I, the undersigned, confirm that:

The information provided is true and accurate.
I agree to abide by the Skrach Art CBO terms and code of conduct.
My subscription is a voluntary community contribution and does not confer ownership.
I consent to Skrach Art using my name/photo for recognition purposes based on my tier.
Membership must be renewed annually to retain benefits.

I agree to the above declarations and the Terms & Conditions.

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