Brush Art Gallery & Studios

Membership Application and Donation Form
Brush Art Gallery and Studios



Description Price    

 
Individual
$35
 
 
 
Family/Household
$50
 
 
 
Student/Senior/Artist
$25
 
 
 
Friend
$100
 
 
 
Sponsor
$250
 
 
 
Fellow
$500
 
 
 
Patron
$1,000
 
 
I would like to make a tax-deductible donation to the following Brush Funds:
 
Arts Scholarship in the amount of:
 
 
 
Exhibitions Fund in the amount of:
 
 
 
General Fund in the amount of:
 
 
 
Special Perspectives in the amount of:
 
 

Billing Information
Email Address (where receipt should be sent)
First Name
MI
Last Name
Address
City
State
ZipCode
Day Phone
Evening Phone
Cell Phone

Credit Card Information
Credit Card Type
Credit Card Number
Expiration
  


   

All Sales Final. No Refunds or Exchanges.


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