|
ART ASSOCIATION OF HARRISBURG |
| Name |
Membership Level (please check one) |
|
| Address | Student (18 or under)..................$25 | |
| City | State ZIP | Artist.........................................$40 |
| Home Phone | Work Phone | Supporter...................................$40 |
| Credit Card | Visa MasterCard Discover American Express | Promoter....................................$60 |
| CC Number | Exp. Date | Patron......................................$125 |
| Benefactor................................$250 | ||
| Sponsor....................................$500 | ||
| Signature |
_________________________________________ Membership is valid for one year from receipt of application. Make checks payable to Art Association of Harrisburg (AAH). Mail to: 21 North Front Street, Harrisburg PA, 17101. |
Friend.....................................$1000 Platinum Life...........................$5000 |
Instructions:
Complete all areas, then print and sign the form. Don't forget to
click a box at the right!
Mail the completed form, along with your payment, to:
Art Association Of Harrisburg
21 North Front Street
Harrisburg, PA 17101
Questions?
Give us a call at (717) 236-1432.