ABI General MembershipABI General MembershipStep 1 of 520%ABI General Membership$60.00 Annually Individual General Membership is a recurring annual fee with no key card access, and use of day passes during office hours only. Individual General Membership is now combined to cover all of Albany Barn, Inc. spaces (Albany Barn and Electric City Barn). Individual General Membership includes: -Become part of Albany Barn, Inc.'s artist network to be considered for paid opportunities, -All safety training for Specialty Studios at ECB, -One day pass (ECB) and discounts on future day passes, and -Discounts on select merchandise, classes, and events (including ABI’s annual fundraiser: FUSION anti-gala). Price: General Membership InformationName(Required) First Last Email(Required) Phone(Required)Why are you becoming a member today?(Required)Check All That Apply General support and interest for Albany Barn General support and interest for Electric City Barn Discounts on select merchandise, classes, and events. Discounts on day passes for Albany Barn Discounts on day passes for Electric City BarnWould you like to receive more information about the below Membership Options?(Required)Check All That Apply Albany Barn Artistic Monthly Membership Electric City Barn Co-Working+ Monthly Membership Electric City Barn Organizational Monthly Membership I am not interested in a Monthly Membership option.Please provide your annual household income amount.We will check to see if you qualify for the Sliding Scale membership discount. If you qualify we will contact you to refund a percentage of your membership purchase.Will you be using the Electric City Barn facilities with your membership?(Required)If yes, additional forms may be required before you access the space.YesNoMaybeMarketing Information(Required)Can we create a Public Membership Profile for you on our website(s)?YesNoName to be Presented on PromotionsFull NameBusiness NameBothNeitherBusiness NameWebsite Facebook Instagram Please describe the services/products you offer.Describe what you make/offer, this could even be your "about" or even your mission statement.Photo Consent I give my permission to use any photographs of myself taken at Albany Barn (56 2nd Street, Albany NY 12210) and/or Electric City Barn (400 Craig Street, Schenectady NY 12307), for any legal use, including but not limited to: publicity, copyright purposes, illustration, advertising, and web content. I understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.Demographic InformationAlbany Barn, Inc., including Electric City Barn, is partially funded by state and federal grants that require collection of basic demographic information on those benefiting from publicly funded subsidies (i.e. free safety training or reduced membership dues). Please note that information provided will not be used to make decisions regarding offers of membership or admission to Albany Barn, Electric City Barn, or their programs. You may decline to complete this survey, however Albany Barn, Inc. and Electric City Barn reserve the right to charge full price for goods or services which may otherwise be free or subsidized if the participant declines to provide the information required to be in compliance with funding sources for these subsidies. Should you have any questions or concerns, please feel free to email us at electriccitybarn@gmail.com or call 518-935-4858 ext. 22Age(Required)All Members must be at least 18 years of age.18-2021-3031-4041-5051-6061-7070+Residential Zip Code(Required)Race and Ethnicity(Required)Check All That Apply Indigenous Person / American Indian / Alaskan Native Black / African American Asian Native Hawaiian / Other Pacific Islander White Hispanic Non-Hispanic OtherPlease indicate if you have access any of these services.(Required)Check All That Apply Boys & Girls Club Big Brothers Big Sisters YMCA YWCA NYS Dept. of Social Services SCAP Bethesda House HEAP Social Security (SSI/D) BCNI None of the AboveIncome Levels(Required)Use the chart below to determine your income level based on household size.Below 30% of Median Income (Very Low Income)Between 30% & 50% of Median Income (Low Income)Between 50% & 80% of Median Income (Moderate Income)Over 80% of Median Income (NOT Low/Moderate Income)CheckoutAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Is your billing address the same as your mailing address?(Required)YesNoTotal Credit CardCard Details Cardholder Name Δ
