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I will mail my donation/membership fee
(to: Manifest Gallery, P.O. Box 6218, Cincinnati, Ohio

I prefer to pay electronically with credit card
(a link to paypal will be provided upon submission of this form)

Select one of the following: (see chart below for corresponding membership benefits)

$20 donation
$35 donation
other amount (see above)

$20 Basic Membership (Sept. 2009 - Aug. 2010)
$60 NDA 2005
$60 NDA 2006
$60 INDA 2007
$60 INDA 4 (aka 2008***)
$60 INDA 5***
$75 Manifest Short Sleeve T-shirt w/logo - visit the Manifest Gear page to see sample. Please indicate men's or women's style in 'notes'.
             Small     Medium     Large
$250 A set of Season-5 catalogs (volumes 30-38)
$300 Subscription to Season-6 catalogs
$600 Boxed set of Manifest Catalogs volumes 1-38 (first five seasons)

All premiums are a gift in exchange for support, and are offered while quantities last. Donations minus value of premium are tax deductible.
*** The INDA 4 (a.k.a. 2008) will be available soon. The INDA 5 will be available late in 2010.

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