Chazen Museum of Art

Support the Chazen Museum of Art  Give a Gift Membership

Encourage a friend or relative to become part of the Chazen Museum of Art community by giving them a gift membership!

Complete the information below for the gift recipient, and be sure to provide your contact information at the bottom.

This gift is for:
Title
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Last Name
Spouse/Partner: Title
First Name, Middle initial
Last Name
Address
City, State ,
Zip:
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Phone Day: ()
Evening: ()
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Membership Levels

Director's Circle $1,000
Fellow $500
Associate $250
Founder $125
Patron $75
Family $50
Senior Couple (age 62+) $40
Individual $35
Senior (age 62+) $25
Student (full time)
School:
School ID no.:
Grad. Date: 		$25

 

This gift is from:

Title
First name, Middle initial
Last Name
Address
City, State ,
Zip:
Country
Phone Day: ( )
Evening: ( )
Email Address
Please send renewal notice to: Gift giver
Gift recipient

 

Matching Gift
You can double your contribution to the museum if your place of employment has a matching gift program. Check with your company's human resources office for a matching gift form.


If you would prefer to pay by check, please print and mail this form to:
Chazen Museum of Art
800 University Avenue
Madison, WI 53706
608-263-2246

© 2005 The Board of Regents of the University of Wisconsin System. All rights reserved.