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MISSION STATEMENT

UNDERWRITING AND
SPONSORSHIP

MEMBERSHIP & TICKETS

BOARD MEMBERS

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Email: artscouncil@chase3000.com



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Membership & Ticket Information

In order to be listed as a member on the program, you must purchase your ticket prior to Sept. 13, 2003.

Standard Membership Levels:
________A. Individual $30.00
________B. Individual Senior $25.00
________C. Individual with Children $40.00
________D. Couple with Children $65.00

Contributing Membership Levels:
In addition to being a member, if you would like to further help the CCAAC, please include your tax-deductible contribution of:
________$100 - Benefactor*
________$50 - Sustaining*
________$25 - Patron*
________$10 - Associate
________$5 - Individual

*Includes voting privileges at Annual Meeting

Name________________________________________

Address______________________________________

_____________________________________________

Phone________________________________________

____Yes, I am interested in becoming a CCAAC ACE! Please give me a call and let me know how I can help.

Print this form, complete and send with payment to:
Chase County Area Arts Council
PO Box 1121
Imperial, NE 69033

Tickets at the door:
- Adults $8.00
- Children (age ) $5.00

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