AAEA Patron Membership Form

___ Friend of the Academy - $25.00 Annual Donation.
Receive our twice-yearly newsletter.

___ Supporting Member - $50.00 Annual Donation
Receive our newsletters, open exhibition prospectus, workshop listings, and invitations to all AAEA events.

___ Donor Member - $100.00 Annual Donation
Receive all of the above, plus a 10% discount on workshops.

___ Corporate Member - $500.00 Annual Donation
Receive all of the above, plus listings in our newsletters and on our website.

___ Life Member - $3,000.00 One-time Donation
Patron receives all of the above for life for a one-time donation.

Check method of payment: check/money order VISA Mastercard

Credit card#________________________________ Exp. Date:__________

Name on card:_________________________________________________

Make checks payable to: A.A.E.A. and mail to:
American Academy of Equine Art, Inc.
c/o Kentucky Horse Park
PO Box 1364
Georgetown, KY 40324
Lexington, KY 40511

Name _______________________________________________

Address _____________________________________________

City ________________________________________________

State ________________________________Zip code ________________

Phone (day) ___________________(night) __________________

E-mail _______________________________________________

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