| Print and Mail to: Academy of Western Artists P.O. Box 35 Gene Autry, OK 73436 |
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| Basic Membership | $ 35.00 | ||
| Family/Trio Membership | 75.00 | ||
| Band/Group Membership | 140.00 | ||
| Listing on Open Website (Hyperlink to your website) | Add | 15.00 | |
| Access to Secure
Website & Hyperlink to your website (Username & Password for access) |
Add | 50.00 | |
| Subscription to Rope Burns | Add | 15.00 | |
| Subscription to CC&W Publication | Add | 20.00 | |
| Building Fund donation | |||
| General fund donation | |||
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Subtotal |
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Total Enclosed |
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NAME:_____________________________________________________________________________________________________ ADDRESS:__________________________________________________________________________________________________ CITY/STATE/ZIP_______________________________________________________________________________________________
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