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Mail-In
Membership Form (Print &Fill Out)
$
10
Student / Senior Citizen
$ 20
Individual
$ 30
Family
$ 50
Friend
$ 100
Patron
$ 250
Benefactor
$ 2000
Lifetime
$
___ Separate
Contribution
My
company has a matching gift program. I have enclosed proper
forms.
Name_____________________________________________
Address____________________________________________
__________________________________________________
Phone_____________________________________________
Please
send checks to:
Lake
George Arts Project
Old County Courthouse
1 Amherst Street
Lake George, NY 12845
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