American Indian Art from the Pacific Northwest
 Online Gallery Sponsorship of American Indian Art from the Pacific Northwest 

I Want To Help American Indian Art From The Pacific Northwest 
To contribute, please print this form and fax or mail to the address listed at bottom of form:

Enclosed is my gift of $ _________________________  

____Benefactor $1000+

____Patron     $500 - $999

____Sponsor    $100 - $499

____Friend      $25 - $100
____Other       
Name__________________________________________________________________
(Please print - as it will appear in our program) 

Address________________________________________________________________ 

City_________________________________State_________Zip__________________ 

Day Phone________________________ Evening Phone______________________ 
 
 

Circle One:             MasterCard                  Visa                      Discover 

Card Number__________________________________ Exp. Date______________ 

Name on Card________________________________________________________ 


Signature_____________________________________________________ 
  

Enclosed is my matching gift form from_____________________________________ 

______________________________________________________________________
(Name of Company) 
 
 

Please mail to:

 American Indian Art from the Pacific Northwest
  Box 101, Lummi Island, WA 98262 USA

Telephone: (360) 738-0488
Email: www.ebuynativeart.com