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Donation
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Organization/Business
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First name
The name of the person who will receive correspondence and manage the account.
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Last name
Spouse First Name
Spouse Last Name
Other Family Members:
People living in your household.
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Mailing Address
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City
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State
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Zip Code
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E-Mail
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Preferred Phone
Artistic Interests:
Fine Art
Music/Music Performance
Performance Arts (Drama, Dance, etc)
Photography
Functional Art (Ceramics, Fabric, Wood, Metal)
Crafting
Other
Professional Artist (Receive payment for work)
Gallery Owner
Check all that apply.
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