Please print this page and mail with payment to:
The Ark
316 S. Main Street
Ann Arbor, MI 48104

Date: ________________

Enclosed is my contribution of $_____________ for Ark membership at the following level:

___ $ 50 Solo Membership
___ $ 100 Premiere Membership
___ $ 250 Applauder Membership
___ $ 500 Producer Membership
___ $1,000 Virtuoso Membership
___ $2,500 Ark Angel Membership


Contributions to The Ark are tax-deductible as allowed by law

Gifts of $100 or more will be acknowledged in The Ark’s calendar of events.

Name(s): ________________________________________
As you would like it to appear for recognition. ___Do not list my name

Address:_________________________________________
City:________________________________
State:____ Zip:___________

Ph:_______________________
E-Mail:_____________________________

Payment method:

___Check (payable to “The Ark”)

___*Visa/MC

*Card #____________________________________
Exp.__________
Signature:_________________________________