Thornapple Arts Council
Membership Form

Thank you for your interest in the Thornapple Arts Council.
If you are interested in becoming a member, please fill out
this form and mail it to P.O. Box 36, Hastings MI 49058.

( ) Yes, I am interested in becoming a member of the Thornapple Arts Council.
    We sincerely appreciate any gift amount.
    Suggested Giving Levels are:

      ( ) Thornapple Arts Circle $5,000
      ( ) Benefactor $1,000
      ( ) Patron $ 500
      ( ) Sustaining Member $ 250
      ( ) Member $ 100
      ( ) Other $
( ) Please accept my enclosed donation of $__________.

( ) Please contact me regarding my membership to the Thornapple Arts Council...
    ( ) By phone at __________________________

    ( ) By email at ___________________________
( ) Please send me addition information on the upcoming programs
of the Thornapple Arts Council

( ) Please remove my name from your mailing list

    Contact Name: ________________________________________

    Company:____________________________________________

    Address:_____________________________________________

    ___________________________________________________

    Phone_______________________________________________

    Email________________________________________________

Thornapple Arts Council
P.O.Box 36, Hastings, MI 49058
269.945.2002
www.thornapplearts.org