Merrick Art Gallery

___ M/M ___Mr. ___Ms. ___Dr. ___Dr./M

Name ________________________________________

Address ______________________________________

_____________________________________________

Phone ________________________________________

Make Checks Payable to:
MAGA/PO Box 312
New Brighton, PA 15066
(724) 846-1130
merrickart@comcast.net

Business Categories
Types of Annual Memberships:
____ Non-Profit $25.00
____ Business Level I
             $50.00 - 99.00
____ Business Level 2
             $100.00 -249.00
____ Business Level 3
             $250.00 - 499.00
____ Merrick Circle
              $500.00 and up

Name _______________________

Contact  ______________________ 

Address _____________________

____________________________

Phone ______________________ 

Make Checks Payable to:
MAGA/PO Box 312
New Brighton, PA 15066

(724) 846-1130
merrickart@comcast.net