Membership Application for Eagles Mere Friends of the Arts

I support the Eagles Mere Friends of the Arts and wish to subscribe to its 2008 program in one of these membership categories:

Benefactor- $500 (30 tickets) Patron- $300 (20 tickets)
Sustaining- $ 200 (12 tickets)
Contributing- $125 (8 tickets)
Regular- $75 (5 tickets) Please place my name on your mailing list

Name:______________________________________________________
Address:_____________________________________________________
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