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Please complete this form to preregister for 2010 Arts Day at the Statehouse - Tuesday, January 26, 2010


Registration for 2010 Art Day @ Statehouse
Name
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I promise to (check all applicable): Invite my State Representative or State Senator to meet me at the Statehouse Rotunda

Schedule an appointment with my State Representative and or Senator on January 26, 2010.

Registration Register to attend Arts Day at the Statehouse

Register me and I'd like to make a pledge to help defray the costs of Arts Day at the Statehouse:
by Check made payable to INCAF (mail)
by Credit Card (online)

(Make checks payable to: INCAF. Mail check pledges to: PO Box 1252 Bloomington, IN 47402-1252.)

Pledge Amount $10
$25
$50
$100
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$1000
Not at this time.
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Thank you for your registration. See you Tuesday, January 26!

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Copyright 2010
Indiana Coalition for the Arts/Foundation
PO Box 1252
Bloomington, IN
47402-1252
info@inartsadvocates.org

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