2005
MEMBERSHIP
Membership
priviledges include participation invitations to exhibitions,
concerts and other events; free admission to all exhibits;
and discounts on purchases.
Please
complete the necessary information below. Either
print the application directly from your browser and mail
the completed form
along with your contribution to the address at the top of
the screen or email
the application to uima_webmaster@yahoo.com.
__________ Individual
($40)
__________
Family ($50)
__________
Student or Senior Citizen ($30)
__________
Associate ($100)
__________
Donation
__________ Supporter ($1000)
__________
Sponsor ($2000)
__________
Patron ($5000)
__________
Benefactor ($10,000)
__________
Distinguished Benefactor ($25,000 and up)
- Name
- ________________________________________________
- Street
address
- ________________________________________________
- City/state/zip
- ________________________________________________
- Telephone
- ________________________________________________
- E-mail
- ________________________________________________
- Signature
- ________________________________________________
__________ Amount enclosed.
__________
Check number.
Please make check payable to
UIMA.
Memberships and contributions are tax-deductible.
Tax exemption No. 23 718 6981
Thank
you!
UIMA is grateful for the generosity of its patrons and contributors.
