Manito Art League Patron Application Phone Patron Type * Personal Business First Name * Last Name * Email * Home Phone Mobile Phone Summer Address * City * State * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Winter Address same as Summer Address? * YES NO Donation Amount ($60 minimum)ex. 150, no $ sign Manito Art League Patron Levels: Picasso: $60-99 Van Gogh: $100-299 Rembrandt: $300-499 Michelangelo: $500 + Display my name on the Patron Thank You web pageWe will be honoring patrons on the PATRON THANK YOU page of our online Art Show. Check NO If you prefer NOT to be listed. YES NO After clicking the Submit Patron Application button above you will be redirected to PayPal to complete your payment.
