Proud Member of the MeerKat Technology Network
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
Last Name
Address
City
State
ZipCode
Day Phone
Evening Phone
Cell Phone

Credit Card Information
Credit Card Number
Expiration
  
Credit Card Type


   

All Sales Final. No Refunds or Exchanges.




Contact Info
Brush Art Gallery and Studios
256 Market St.
Lowell, MA 01852
978-459-7819
James Dyment, Director
director@thebrush.org



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