Supporting Manifest's 14th Season Annual Fund

Tax-deductible Donation and Membership Subscription Form
Season 14: September 2017 - August 2018

 

 

Your name:

First:

Last:



Address:

Street:

City: State: Zip:



Phone:



E-mail:
(our primary means of communication)

 

Tell us why you are becoming a member, why you support Manifest:



I will mail my donation/membership fee
to: Manifest Gallery, P.O. Box 6218, Cincinnati, Ohio 45206

I prefer to pay electronically with credit card or paypal
a link to paypal will be provided upon submission of this form.
you do not need a paypal account to donate using a credit card using their service.



Select one of the following Support Levels:




other amount (list amount at bottom of form)




Basic Membership (Sept. 2017 - Aug. 2018)
All members at or above the Apprentice level of support receive the following:

• A seasonal members newsletter
• Invitation to all special members’ events and members-only book sales
• Subscription to all exhibit postcard mailings

Apprentice
$25

Artisan
$50

 




Craftsman
$90
Includes one Manifest t-shirt (select size below).

 



Philosopher:
$150

Historian:
$275

Includes one Manifest t-shirt (select size below).
• Manifest Exhibition Annual (MEA season 14)

Learn more about our beautiful award-winning books here.





Connoisseur:
$500

Includes one Manifest t-shirt (select size below).
• Manifest Exhibition Annuals (MEA season 13-14)





Master:
$750

Includes one Manifest t-shirt (select size below).
• Manifest Exhibition Annuals (MEA season 12-14)




 

Sponsor:
$1500 

Includes one Manifest t-shirt (select size below).
• Manifest Exhibition Annuals (MEA season 11-14)

 




Monument:
$5000+ 

Includes one Manifest t-shirt (select size below).
• Manifest Exhibition Annuals (MEA season 10-14)

 



All premiums are a gift in exchange for support, and are offered while quantities last. Donations minus value of premium are tax deductible. Later books in a series will ship once production is complete. *MEA books are only available as a premium at Philosopher level or above. All MEA books are a ‘delayed investment’ premium, and will ship when available, possibly during following year.




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Double check the information you entered above.


Total Donation to Annual Fund:
$

A copy of your form will be automatically sent to the e-mail address you provided.
Please print and retain the e-mail for future reference and tax records.
A link to paypal for payment by credit card will be provided in a new window upon submission of this form.



Printable Membership/Donation Form

If you prefer the manual process.

Make checks payable to Manifest and send to MANIFEST, P.O. Box 6218, Cincinnati, Ohio 45206


You can send an e-mail regarding any questions here.