Modesto
Inspiring
Creativity through the Arts
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Corporate Membership Form� Send this form with your check to:
Modesto Art Museum, 404
Patrick Lane, Modesto, CA 95350
Please Print
Carefully
Name of
Corporation_________________________________________
Contact First Name
_________________ Last Name ____________________
Address
_______________________________
City ����������_________________________
State ��____ Zip� _____________
Email Address
___________________________________________
Phone: Area Code
_________ ��Number ______________________
Length of
Membership (Circle One)�� One Year������� Two Years
Membership is
$250 per year
Amount enclosed
for membership:� $���������
Check made out
to Modesto Art Museum.
Art Interests
__________________________________________