 I/we wish to join in helping support the QCC Art Gallery as indicated below:
$1000 President's Circle
$500 Benefactor
$250 Patron
$100 Sustaining Member
$50 Associate
$25 Senior Citizen/Student
$____________ Other Amount
Enclosed is my check payable to the QCC Art Gallery.
Credit Card: MasterCard VISA
Card # ___________________________
Exp. Date ____________
Signature______________________________________________
Your contribution is tax-deductable. Donors at all levels will be included in our mailings.
Name: __________________________________________________
Address: _______________________________________________
City: ___________________________________________________
State, Zip: _______________________________________________
Telephone: ______________________________________________
E-mail: _________________________________________________
Business/Organization: ____________________________________
My organization participates in a matching gift program. I have enclosed the appropriate form for you to process.
Please contact me about Gallery volunteer opportunities..
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