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Friends of Diversity Membership Form Name: _______________________________________ Address: _____________________________________ _____________________________________________ phone: _____________________________ email:______________________________ Membership level: Friend ($25) _______ Patron ($50) _______ Saint ($100) _______ Can you volunteer? ________ If so, what days and times? __________ and will receive a 10% discount on all art purchased at Diversity. Please send form to: Diversity Gallery & Studios Friends of Diversity 108 South Third Street Leesville, Louisiana 71446 or call us at (337) 392-8540 Thank you for supporting the arts on Louisiana's west edge! `````````````````````````````````````````````````````````````````````````````````````````` |
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