/ Donation Form / FOR OFFICE USE ONLY
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The Glass Art Society (GAS) is an international nonprofit 501(c)3 organization founded in 1971 whose purpose is to encourage excellence, to advance education, to promote the appreciation and development of the glass arts, and to support the worldwide community of artists who work with glass. GAS members are artists, students, educators, collectors, gallery and museum personnel, writers, and critics, among others. Membership is open to anyone interested in glass art.
MAIL FORM DONATION TO: Glass Art Society, 6512 23rd Ave NW, Suite 329, Seattle, WA 98117 USA
OR FAX TO: 206.382.2630
__YES, I am a Friend of the Glass Art Society.
Please use my gift to support this important organization. All amounts are in USdollars. / __ $2,500 / __ $1,000 / __ $500 / __ $250
__ $100 / __ $50 / __ $______
(please indicate donation amount)
Optional - I would like to have my gift applied to this special fund: ______. Descriptions of designated funds www.glassart.org/specialfunds.html / SPECIAL FUNDS - General Donation to GAS · GAS in CERF · Hilbert Sosin · Dominick Labino · Rober Willson · Sy Kamens Educational Fund · Takako Sano International Student Scholarship Fund · Becky Winship Flameworking Student Scholarship Fund · NEW! Community Partnership Fund name subject to change
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□ Please check if you would not like to receive information about events via e-mail
PAYMENT INFORMATION
Enclosed is a check for $ ______USD (US funds drawn from US bank; payable to Glass Art Society)
Please charge my Card# __ - __ - __ - __ | __ - __ - __ - __ | __ - __ - __ - __ | __ - __ - __ - __
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Exp. Date ____|____ Signature ______
For more information or with any questions, please call 206.382.1305.

A donation of $250 or higher entitles you to a complimentary Glass Art Society Journal ($27 value).

___ Yes, please send me the most current Journal

___ No thank you, please use my entire contribution to support the Glass Art Society (100% tax-deductible as allowed).

THANK YOU FOR SUPPORTING THE GLASS ART SOCIETY!

Glass Art Society • 6512 23RD Ave NW, Suite 329, Seattle, WA 98117 USA • T:206-382-1305 • F:206-382-2630 • • www.glassart.org