Contributing Member Application Form

NAME :
ADDRESS :
CITY STATE ZIP PHONE
E-MAIL FAX
DATE SIGNATURE
Category Yearly Contribution Amount Enclosed
Patron $100.00-$249.00 $
Sponsoring $250.00-$499.00 $
Supporting $500.00-$999 $
Sustaining $1,000.00-$4,999 $
Partner $5,000+ $

Membership must be renewed on a yearly basis to retain privileges.
Please send this information slip with your contribution to: Society of Animal Artists, 47 Fifth Avenue, New York, New York 10003

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