Lighthouse Center for the Arts

Membership Application Form
Please print and mail or fax this
form to:

Lighthouse Center for the Arts
Gallery Square North
373 Tequesta Drive
Tequesta, Florida 33469
Fax: 561-746-3241

New Membership Level

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Your current membership is:

This is a:

New Renewal Gift

Member Name:

WINTER ADDRESS:

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Address:

City:

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Phone:

Email:

SUMMER ADDRESS:

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Address:

City:

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GIFT MEMBERSHIP:

(Fill in ONLY if a gift)

Recipient's Name:

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Please send renewal notice for this gift membership next year to:

me recipient

PLEASE SELECT A MEMBERSHIP LEVEL

	Contributing Member $75 · Personalized Membership Card · Free Admission to Exhibitions · Right To Vote at Annual Meeting · Registration Fee Waived for Art Studio Classes · 10% discount at our Palette Plus museum store · Display Artwork in Members/Students Annual Show · Subscription to the Center's Newsletter · Invitations to wine and cheese receptions

	Patron's Club $250 · All of the above PLUS · Recognition in member magazine

	Benefactor's Guild $500 · All of the above PLUS · Invitations to Opening Receptions · Invitation to VIP Lectures

	President's Council $1,000 · All of the above PLUS · Recognition on President's Panel · Recognition in annual Gala Program · Invitation to annual Member Luncheon

	Collector's Council $2,500 · All of the above PLUS · Invitations to VIP Special Events

	Connoisseur's Circle $5,000+ · All of the above PLUS · Exclusive VIP privileges

	I upgraded my membership to President's Council or above, please send me my free gift.
	Payment Information
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	PLEDGE OPTION
	For memberships of $500 & above, you may now pay through our new & convenient pledge program. Enter pledge amount & select billing cycle:
	Pledge Amount:
	Initial Payment:
	Billing Cycle: Monthly Quarterly Other-List