| Membership NEW CANAAN SOCIETY FOR THE ARTS |
| Individual $45 |
| Family $60 |
| Name ________________________________________________________ Address ______________________________________________________ City _________________________________________________________ State ___________________________ Zip ________________________ Telephone _______________________ Email _______________________ |
| I am an artist and wish further information on exhibiting my work Please send me further information on ways I can become more involved |
| Please choose the appropriate membership category, complete this form and mail with your check to: New Canaan Society for the Arts PO Box 1044 New Canaan, CT 06840 or call: (203) 972-1895 MasterCard, Visa, and Discover accepted Please make checks payable to NCSA All donations are tax deductible to the extent allowed by law Your cancelled check is your receipt |
| Student $25 |
| Back |
| Contributor $100 |
| Patron $200 |
| Benefactor $350+ |