Inyo Council for the Arts Membership Application (Please print and mail with payment) Level of Membership Fee:  __ General Membership $25  __ Friends $40 __ Patron $100 __ Kindred Spirit $250 __ Millpond-Buy the Show $1000   Method of Payment __ Check __ American Express __ Visa __ Mastercard Credit card # _____ /_____/ _____/ _____ exp. date______ Signature____________________________ Name______________________________ Address____________________________ __________________________________ ___________________________________ Phone______________________________ E-mail address_______________________ To join, please fill out and return this form with your membership fee.

Inyo Council for the Arts 137 South Main Street Bishop, CA 93514 Phone: 760-873-8014 FAX (760) 873-5518 InyoArts@inyo.org