Membership Form :: Duluth Art Institute

MEMBERSHIP FORM

Print and mail this form to: Duluth Art Institute, 506 W. Michigan St., Duluth, MN 55802

Name

Address

Phone

email

Amount

My company will match this gift.

BASIC MEMBERSHIPS
$40 Basic
$60 Household
$30 Student

CONTRIBUTING MEMBERSHIPS
$100 Friend
$300 Arts Ally
$500 Patron of the Arts
$1,000 Benefactor of the Arts

Check
Visa
MasterCard

Expiration Date

Signature

Day Sponsor Information:

Special Date:

In Honor of:

In Memory of:

The Duluth Art Institute is a
501 (c) 3 non- profit organization.