Print out this form and send it and your donation to:

Los Angeles Art Association
ATTN: Sponsor Application
825 N. La Cienega Blvd.
Los Angeles, CA 90069



Yes! I wish to make a donation to LAAA at the following level of membership: (circle one)

•  FRIEND — $50
•  ASSOCIATE — $100
•  SUPPORTER — $250
•  ART ENTHUSIAST — $500
•  PATRON — $1000
•  DIRECTOR'S CIRCLE — $2500
•  PRESIDENT'S CIRCLE — $5000

Name:
Address:
City: State: Zip:
Telephone: Email:
Donation in the honor/memory of: (if other than donor)
Enclosed is my check or money order in the amount of:
Please make checks payable to LAAA.
Credit card #: ( AE / VISA / MC )

Expiration date:
Signature

I would like to volunteer my time.
I am interested in taking out an ad in Artline.
I would like to donate goods or services.
(A gallery representative will contact you regarding in-kind donations)
  A gallery representative will contact you regarding these alternative sponsorship opportunities.



A letter of acknowledgement with tax-deductible information will be sent upon receipt of your donation. WE THANK YOU FOR YOUR GENEROSITY.

For more information, please call (310) 652-8272

LAAA tax number: 95-6072782