| MEMBERSHIP
FORM Print out and mail to: Cleveland Arts Prize P.O. Box 21126 Cleveland, OH 44121-0126 |
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| CLEVELAND
ARTS PRIZE Annual Membership Fund I am/we are pleased to become a member of the Cleveland Arts Prize, which ensures the tradition of honoring creative excellence and achievement in Northeast Ohio. |
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Ian
Horvath |
Enclosed please find my tax-deductible contribution of:
Benefactor
$5,000
Gold Patron $1,000
Muse $500
Fellow $250
Friend $100
Supporter $35
Name________________________________________________________
Please print as you would like your name(s) to appear on our Website acknowledgment.
Address_______________________________________________________
City, State, Zip__________________________________________________
Day Phone______________________________________
Email _________________________________________
Date __________________________________________
Please
make your check payable to Cleveland Arts Prize
and return with this form to: