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Membership
Membership Levels
Membership Name
Email address

Gift Certificate Purchase

GC amount
Purchaser Name
Gift Reci[ient Name
Donation-Support
Artwork Prices 100 - 275
Buyer Last Name & Daytime Phone Number
Buyer Email Address
Artwork Prices 300 to 475
Title of Work & Artist Name
Name of Buyer/Daytime Phone #
Artwork Prices $500 - $675
Title of Work/Artist Name
Buyer Name/Daytime Phone #

Artwork Prices $700 - $875
Title of Work/Artist Name
Buyer Name/Daytime Phone #

Artwork Prices $900 - $2000
Title of Work/Artist Name
Buyer Name/Daytime Phone #

Artwork Prices $900 - $2000
Title of Work/Artist Name
Buyer Name/Daytime Phone #