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Name(s) Address City State Zip Phone Email New? Renewal? Artist? If yes, medium Suggested Membership Amount Individual $35 Patron $500 Family/Group $50 Angel $1,000 Friend/Business $100 Benefactor $2,000 Sustaining $250 Life Member $10,000 MAKE CHECKS PAYABLE TO THE ART STUDIO, INC. Copyright 2010. The Art Studio, Inc. All rights reserved.