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membership form

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  $35: Individual
  $50: Family
  $100-$499: Contributor
  $500-$999: Supporter
  $1,000-$4,999: Patron
  $5,000+: Benefactor
  $300: Business Partner
  $150: Business Non-Profit
  $1,000-$4,999: Corporate Partner
  $5000+: Corporate Sponsor
  I wish to volunteer.
  I am an artist (what kind)?_______________________________
  I'm considering adding Florida Keys Council of the Arts to my estate plan.

Name:____________________________________________________

Phone:___________________________________________________

Business/organization:_______________________________________

Address:_________________________________________________

Phone:_________________ Fax:__________________ E-Mail________

Your website:__________________________________________________

Amount enclosed $_____________ / Please make checks payable to FKCA,
or CALL US with your Credit Card Information
Florida Keys Council of the Arts
1100 Simonton St., Key West, FL 33040
305-295-4369.