| Individuals |
Organizational
(by budget size)
|
| Artist |
$10 |
|
Under $25,000 |
$25 |
| Student |
$10 |
|
$25,000 - $99,999 |
$50 |
| Basic |
$25 |
|
$100,000 - $249,999 |
$100 |
| Friend |
$50 |
|
$250,000 - $499,999 |
$150 |
| Patron |
$100 |
|
$500,000 + |
$250 |
| Benefactor |
$250 |
|
|
|
| Other |
____ |
|
|
|
Name
_________________________________________________
Organization (or Organizational Affiliation)
_________________________________________________
Address
_________________________________________________
City, State, Zip Code
_________________________________________________
Please make checks payable to NHCFA Membership and mail to:
New Hampshire Citizens for the Arts
P.O. Box 3055
Peterborough, NH 03458-3055
|
Membership 
