I am sending in my ATA membership dues at the following rate:
____ 1 year Individual (US$35) or ____ 2 years (US$65)
____ 1 year Studio Circle (US$60) or ____ 2 years (US$110)
____ 1 year Curator's Circle (US$125) or ____ 2 years (US$225)
____ 1 year Collector's Circle (US$250) or ____ 2 years (US$450)
____ 1 year Student at College or University (US$25) or ____ 2 years (US$45)
          (to be eligible Students must include a copy of current student id)

Are you a ____ renewing Member or a ____ new Member?

Name_______________________________________________________________

Address_____________________________________________________________

Phone__________________________ Email________________________________

Credit Card Number (Visa/MC)_________________________ Exp. Date__________

Card Holder's Signature_________________________________________________

Mail your check or money order, payable to ATA, to ATA, c/o Ellen Ramsey,
4911 NE 178th Street, Lake Forest Park, WA 98155 USA.