Associate Membership Application

Level of Sponsership             Annual Contribution
    Benefactor                                        $500.00
    Patron                                               $100.00
  Family                                                $35.00
  Individual                                           $20.00

 CASG is a non-profit 501c-3 corporation.
All donations are tax deductable.

Name ____________________________________
Address ____________________________________
  City  ____________________________________
Phone   ____________________________________
Email  ____________________________________

Method of Payment

Check Enclosed                Visa            Mastercard

Credit card #__________________________
Expiration__________________________
Signature__________________________

Would you like to be a gallery volunteer?__________


Please print and mail to:

Carolina Artist Studio Gallery
800 Evans Street
Morehead City, NC
28557

(252) 726-7550

THANK YOU!