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membership form

Membership Application Form

Basic Membership
Senior ($15)
Individual ($25)
Family ($50)
Friend ($75)
Contributing Membership
Van Gogh Alliance ($100)
Mozart Alliance ($250)
Shakespeare Alliance ($500)
Monet Alliance ($1000)

Name:
Address:
Phone:
E-mail address:
Re-enter e-mail:
Comment:

I'd like to volunteer!

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