MEMBERSHIP
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210 Commercial Ave. PO Box 535
Sandstone, MN 55072
320-216-7635
info@210galleryandartcenter.org
_____ Renew Membership (Membership Month: _______)
_____ New Membership
Please choose your level of support:
Picasso $2500 Vermeer $100
Monet $1000 Nevelson $75
Miro $500 Rembrandt $60
Kahlo $400 Rivera $50
Whistler $300 Seurat $40
O’Keefe $250 El Greco $35
Pollack $200 Da Vinci $30
Carravaggio $150 Baker/Walz $25
Please complete this form and return it with a check payable to: 210 Gallery and Art Center
Mail to: 210 Gallery and Art Center PO Box 535 Sandstone, MN 55072
Name:______________________________________________________________________
Address:___________________________________________________________________
Phone:_______________________ Email:______________________________________ Amount: $__________________
Thank you for supporting the arts in our community!
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