445h Annual Exhibition · Donor/Sponsor Form
A Juried Fine Art Exhibition of Indiana Artists · June 19 – July 8, 2023
Contact Name
*
First Name
Last Name
Business Name or Name(s) to appear in show catalog
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Exhibition Donation
Level of Donation
Gold Level · $500 and up
Silver Level · $250 and up
Bronze Level · $125 and up
Friend of IHA · less than $125
Award Sponsorship
Name of Award
Award Amount
Matching Donation
Match Amount
Match Donor
Submit and Make Payment
Amount of Donation / Sponsorship
*
prev
next
( X )
USD
Online payments are processed through PayPal. Check out as a guest if you do not wish to use a PayPal account.
Submit
Should be Empty: