Become a member of the Contemporary Please check desired membership category General Individual $35 Dual/ Family $55 Working Artist/ Student/ Senior $25 Patron Contributing $100 Supporting $250 Sustaining $500 Avant Garde $1000 I prefer to waive my benefits and make a 100 % tax-deductible gift to the Atlanta Contemporary Art Center Please also send e-mail information regarding: Education Programs Internship Opportunities Volunteer Opportunites Artist Opportunities Name Second name for Dual/Family membership Two children Names under age 18 for Family membership Company name for corporate memberships Mailing address Home phone Office phone Email address (Very Important: Most of our programming updates are sent via e-mail) Payment method Check American Express Master Card Visa Credit card Number Credit card expiration date Signature Does your company participate in matching gift program? (If you're not sure, check with the HR Department) My employer has a matching gifts program. I have enclosed the completed matching gift form. Please contact my employer,             at phone #, for the forms. Complete this form, print, then fax to: 404-577-5856 or mail to address below: Atlanta Contemporary Art Center 535 Means Street • Atlanta, Georgia 30318 Phone 404-688-1970 • Fax 404-577-5856

Major funding for this organization is provided by the Metropolitan Atlanta Arts Fund, the Andy Warhol Foundation for Visual Arts, Fulton County Arts Council, the Emily Hall Tremaine Foundation, the Massey Charitable Trust, Accenture, The Community Foundation for Greater Atlanta, the City of Atlanta Bureau of Cultural Affairs, the Georgia Council for the Arts, the National Endowment for the Arts, Art Institute Atlanta, and the Rich Foundation