ALLIED ARTS :: SUPPORT ALLIED ARTS

Join Allied Arts

To join: print, complete and mail this form to:

Allied Arts of Seattle
216 First Avenue S, Suite 253
Seattle, WA 98104

Name of member(s):___________________________
Business (if applicable):_________________________
Address:____________________________________
City:_______________________________________
State:______________________________________
Zip:_______________________________________
Home phone:_________________________________
Work phone:_________________________________
Email address:________________________________

Membership Levels:
Friend $35
Family $65
Patron $100
Advocate $250
Benefactor $500
Leadership Circle $1000
Other _____

Enclosed is my/our check for $___________
Please charge my/our gift of $___________
Visa____ MasterCard ____
Account #:_________________________________
Expiration date:______________________________
Authorized signature:__________________________