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

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: (see chart for corresponding membership levels and benefits.)

Donor: (If you do not want a membership premium but want to support Manifest.)
$50 donation
$100 donation
other amount (see above)

Apprentice:
$25 Basic Membership (Sept. 2011 - Aug. 2012)

Craftsman:
$75 Manifest Black 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

Philosopher:
$150 Choice of two of the following (check two boxes):

National Drawing Annual books 1 and 2
International Drawing Annual 3 (book)
International Drawing Annual 4 (book)
International Drawing Annual 5 (book)
International Drawing Annual 6*** (book)
International Painting Annual 1 (book)

Learn more about these beautiful books here and here.

Historian:
$275 A set of Season-7 catalogs (volumes 48-56)

Connoisseur:
$300 Subscription to Season-8 catalogs

Master:
$750 A full set of International Drawing Annuals 1-6

All premiums are a gift in exchange for support, and are offered while quantities last. Donations minus value of premium are tax deductible.
*** The INDA 6 will be available in winter of 2012.

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(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.)