NAME ____________________________________________
ADDRESS ____________________________________________
CITY, STATE, ZIP __________________________________________
LEVEL OF MEMBERSHIP:
____ BASIC ($40-$80) ____ BENEFACTOR ($200-$500)
____ PATRON ($100-$150) ____ ASSOCIATE ($1000-$2000)
____ MY GIFT IS DOUBLED BY ENCLOSING
MY
COMPANY'S
MATCHING GIFT FORM.
____ I ENCLOSE A CHECK OR MONEY-ORDER FOR
$________,
PAYABLE TO: OWATONNA ARTS CENTER
after you print and fill in the above, mail it to:
Owatonna Arts Center
P.O. Box 134
Owatonna, MN 55060
All donations are tax-deductible.