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New Organization Registration

* denotes a required field

*Organization Name:

Subsidiary Name:

*Federal ID:

Program Name:

URL:
Note: URLs must begin with http://

Institution Description

*Organization or Gallery Mission Statement

Is your organization currently accredited by
the American Association of Museums?

Yes No

If yes, please select the most recent accreditation year:

*Please select an institution type:
To select more than one option from the list, on a PC use CTRL+click; on a Mac use APPLE+click

*Please select a description for the institution type(s):

Organization Contact Information

*First Name:

Middle Initial:

*Last Name:

*Job Title:

*Address:

Address Line 2:

*City:

*State:

*Zip:

Phone:

Fax:

*Email:
Note: This email will be your
Username with PicturePA

*Password:

*Confirm Password:

Cultural Organization
Museum
University