Join Us!

Memberships:

_____ $15           Student

_____ $20           BAAA

_____ $45           Individual

_____ $70           Family

_____ $150         Business/Active Supporter

_____ $250         Gallery Club

_____ $500         Curator's Circle

_____$1000        President's Circle

_____$2500        Benefactor

Name _________________________________________

Spouse's Name _________________________________

Address _______________________________________

City ______________________ State ______ Zip _______

Phone Day ___________ Phone Evening _____________

Email address __________________________________

Membership Fee              $_________

Additional Contribution    $_________

(for:______________________ )

TOTAL Enclosed              $_________

VISA or Mastercard # _____________________________

Expiration date: _______________________

Please Make checks payable to “Coos Art Museum” or “CAM”

Please print this form and return to the Coos Art Museum at 235 Anderson, Coos Bay, Oregon 97420. Email membership information to membership@coosart.org