Be a Member Underwriting Arts Calendar  



Please pledge below but if you wish to telephone your pledge, call 1-800-723-4657.


Salutation
  First Name
  Last Name  
  Address  
  City  
  State  
  Zip Code  
  Home Phone
(use format 620-662-6646)
 
  Email  
  Have you recently changed your
address or phone number?

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Is this a new or renewing membership?
 
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How much would you like to pledge?  
  $ 1,000 Leadership Circle  
  $ 500 Personal Underwriter  
  $ 365 Dollar a Day  
  $ 240 Day Sponsor (or $20/month)  
  $ 120 Family (or $10/month)  
  $ 60 Individual (or $10/6 months  
  Other Amount
   
Choose your payment method
                Note: Monthly automatic bank withdrawals are only available for $120 gifts or greater.

Credit Card Payment
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  Name on the Card
  Card Type
  Credit Card Number
  Expiration Date     Month Year


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