Metro South Arts Council

(MSAC)

Membership Form

 

 

 

MEMBERSHIP CATEGORIES (Please check one)

_____ $10 Senior/Student

_____ $15 Individual

_____ $ 25 Family

_____ $ 50 Supporting

_____ $100 Sponsor

_____ $250 Contributor

_____ $500 Sustaining

_____ $1,000 Benefactor

 

Yes! I have indicated my choice above and enclosed my check in the amount of $_____.

 

_____ I am also interested in volunteer opportunities with MSAC.

_____ I am also interested in serving on the Board of Directors of MSAC.

 

Name_____________________________________

 

Address___________________________________

 

City____________________________ State_______ Zip________________

 

Phone___________________________

 

Email (optional)_________________________

 

Please mail this form, along with your check, to:

 

Metro South Arts Council

4900 South Lindbergh Blvd.

St. Louis, MO 63126

 

 

 

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All contents copyright © 2005 Metro South Arts Council, Saint Louis, Missouri