[IMAGE: EOH Masthead]
   Member Sign Up Form   

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Learn more today!

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ON VIEW AT THE

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Now Accepting Applications for 2018!

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Office & Gallery Hours: Tue.-Fri. 10 - 5, Sat. 12-3

No admission is charged for the galleries, but donations are greatly appreciated!

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SUPPORT THE ARTS IN YOUR COMMUNITY.

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List your arts event in our Community Calendar!

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Earlville Opera House Membership/Contribution Form

Membership Levels
  _____  $40 Basic
  _____  $100 Contributing    
  _____  $250 Supporting   
  _____  $500 Patron    
  _____  $1000 Benefactor    

Please put an X in your level of support above.

Seniors over 65 may deduct 20% here    $_______

Final senior membership level of support  $_______

Other support opportunities:
    Scholarships Fund   $_______
    Capital Campaign    $_______
    General Donation    $_______

Total:  $________________________________

____  Check   ___ VISA  ___ Master Card

Please provide ALL the information requested below, as we cannot

process a credit card payment without it.

Credit Card #:  _____________________________

Expiration Date:  ___________________________

CVV# (from back of card) _____________________

Name:  ___________________________________

Address:  _________________________________

Phone:  __________________________________

Email: ___________________________________

___ Please keep this gift anonymous

___ Please contact me about planned giving

___ Please contact me about volunteering

Please mail to:  Earlville Opera House
Box 111, Earlville New York 13332
Phone 315-691-3550



Earlville Opera House New York State Council on the Arts