Print and fill out this form,
and mail with your check, payable to ARTinA, to:

ARTinA, 316 Verret St. New Orleans, LA 70114

___	$12	Student (ARTinA Artifact Newsletter)
___	$20	Regular Membership (ARTinA Artifact Newsletter & opportunities to show work in ARTinA exhibits)
___	$50	Good Friend of ARTinA (Same as above plus one ARTinA T-Shirt)
___	$100	Corporate Sponsor (Advertising for one year in ARTinA Artifact)
___	Other contribution for $______________________

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WORK PHONE	( ___ )____________________