Print out, complete, & mail to The ART Mission, 61 Prospect Ave., Binghamton, NY 13901

Name:

_______________________________________________________

Address:

_______________________________________________________

City/St/Zip:

________________________/_____/_________

Phone:

_____-__________ Email:  ________________________________

Date:

 
MEMBERSHIP CATEGORIES
____ INDIVIDUAL / ARTIST

$35
____ FAMILY $50
____ SUPPORTING $100
____ SEAT DONOR $300
____ PATRON $500
____ SPONSOR $1000

I' d like to become a sponsor:      

 

 SEAT DONATION (engraved nameplate)

$ 300

Name:

 

 SPONSORSHIP

$ 1000

 

 

 CORPORATE or Other amount

$ ____

  

PAYMENT :
Check: Please make your check payable to: The ART Mission. 
Credit Card:
Visa___    MC ____ DISCOVER ____
Card No._______________________________________________ Expiration _____/______
Your Signature: _______________________________________________________________
I'm making an additional tax-deductible donation of  $_______ to support art in our community through the
ART Mission!  We are a 501(c)(3) non-profit corporation; donations are fully deductible as allowed by law.
THANK YOU  & WELCOME!