Your name:

First: Last:

Address:

Street:

City: State: Zip:

Phone:

E-mail:

total ($):

Notes:


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

I prefer to pay electronically with credit card
(a link to paypal will be provided upon submission of this form)

Select one of the following: (see chart below for corresponding membership benefits)

$20 donation
$35 donation
other amount (see above)

$20 Basic Membership (Sept. 2008 - Aug. 2009)
$50 NDA 2005
$50 NDA 2006
$50 NDA 2007
$50 NDA 2008**
$50 Manifest Short Sleeve T-shirt w/logo - visit the Manifest Gear page to see sample. Please indicate men's or women's style in 'notes'.
             Small     Medium     Large
$75 Manifest Long Sleeve T-shirt w/logo - visit the Manifest Gear page to see sample. Please indicate men's or women's style in 'notes'.
             Small     Medium     Large
$200 Boxed set of Season-4 catalogs (volumes 22-29)
$250 Subscription to Season-5 catalogs
$500 Boxed set of Manifest Catalogs volumes 1-29 (first four seasons)

 

Membership Options

$20 Basic Membership • Invitation to all special members' events • A seasonal subscription to the members-only newsletter • Automatic subscription to all exhibit postcard mailings $50 Includes basic membership, plus one of the following: • One copy of the National Drawing Annual 2005** • One copy of the National Drawing Annual 2006** • One copy of the International Drawing Annual 2007** • One copy of the International Drawing Annual 2008** • A Manifest T-shirt (short sleeve)

$75 Includes basic membership, plus: • A Manifest T-shirt (long sleeve) Visit the Manifest Gear page to see sample. Please indicate men's or women's style in 'notes'. $200 Includes basic membership, plus: • A boxed set of Manifest Volumes 22-29 (season-4 exhibit catalogs)** $250 Includes basic membership, plus: •A subscription to the season-5 exhibit catalogs (Manifest Volumes) $500 Includes basic membership, plus: • A boxed set of Manifest Volumes 1-29 (all four seasons)**

** All premiums are a gift in exchange for support, and are offered while quantities last. The NDA 2008 will be available around July of 2008

Double check the information you entered above.

(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.)