
Please print this page, fill out and send (mail or fax) to:
Creative Growth Art Center
355 24th Street
Oakland, CA 94612
fax: (510) 836-0769
membership@creativegrowth.org
Please enroll me in the catagory checked below. My check for a tax-deductible contribution is enclosed. I understand my membership entitles me to a 10% discount on artwork by Creative Growth artists and admission to special events at the center.

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$15 |

Disabled/Senior/Student |
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$25 |
Individual |
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$50 |
Individual |
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$100 |
Individual |
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$250 |
Individual |
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$500 |
Individual |
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$1000 |
Individual |
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$2500 |
Individual |
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New Member |
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Continuing Member |
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Last Name |

First Name |
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Address |
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City |

State/Zip |
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Telephone |
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Living Rememberance or Memorial in the name of...
(A card will be sent in your name) |
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