Kansas Citizens for the Arts Logo

"Grassroots support
for arts and
arts education"
 

Membership Application

_____Yes, I (we) would like to join this grassroots organization supporting
the ARTS in Kansas. Enclosed please find my (our) donation.

     ____$20    ____$50    ____$100    ____Other

Name____________________________________________________________

Address__________________________________________________________

City_________________________  State_____Zip__________

Home Phone (_____)__________E-mail_________________________

State Legislative District (House)_______  State Legislative District (Senate)_____

Your profession____________________________________________________

Number of people in household________________
 

Please make your personal check payable to:

KANSAS CITIZENS for the ARTS
Membership Campaign
P.O. Box 733
Salina, Kansas 67402
 
Corporate and company checks will regretfully be returned
as we are focusing our efforts on the individual "citizens"
of Kansas. Thank you!

 
© 2000 Kansas Citizens for the Arts
Last update: December 22, 2002
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