Crystal Lake Art Center - Membership Form

Crystal Lake Art Center, Frankfort, MI, USA

MEMBERSHIP FORM

To join us as a member or renew your membership, please print out and fill in this form, enclose it with your check made out to: Crystal Lake Art Center, and mail to:

Crystal Lake Art Center
P.O. Box 1513
Frankfort, MI 49635

I/We want to support the work of the Crystal Lake Art Center.
Please enroll me/us as indicated below:

Youth
$15

Senior
$25

Individual
$30

Family
$50

Contributor
$100-199

Donor
$200-299

Sponsor
$300-399

Ambassador
$400-499

Bronze
$500-999

Silver
$1000-1999

Gold
$2000-4999

Platinum
$5000 or more

Name ______________________ State __________ Zip ________

Address ____________________ Telephone __________________

City _______________________ E-Mail _____________________

Payment: Check     Credit Card (Visa, Mastercard, Discover)

Amount enclosed: _________________ I would like to volunteer
    at the Art Center

Credit Card Number: _________________

Expiration Date: _________________   Special Skills: __________

Signature: _________________   Artistic Media: _________

A portion of your donation may be tax deductible.
Please check with your tax advisor.

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