Donation Form
MEMBERSHIP:
Name____________________________
Address__________________________
__________________________
Phone___________________________
Student $5___ Sustainer $250.____
Family $10-$25.____ Patron $500.____
Friendship $50 -$100_____


BUILDING FUND:
Name___________________
Address_________________
________________________
Phone___________________
Amount $___________
Can you help? Paint___ Clean___ Landscaping____ Other_______________


Mail to:

Vinnie Ream Cultural Center
P.O. Box 594
Vinita, OK 74301
ALL DONATIONS AND MEMBERSHIPS ARE TAX DEDUCTABLE