The International Museum of Collage, Assemblage and Construction
6955 Pinon Street – Fort Worth, Texas 76116 – Tel. 817-944-4000
CollageMuseum.com – info@collagemuseum.com
Patron Information
Name_____________________________________________________________
Address____________________________________________________________
Telephone__________________________________________________________
Email______________________________________________________________
ARTWORK SPONSORSHIP
Collage Inventory #_________________________________
Collage Inventory #_________________________________
Collage Inventory #_________________________________
Collage Inventory #_________________________________
Collage Inventory #_________________________________
CREDIT LINE FOR SPONSORSHIP:
PAYMENT INFORMATION
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Please complete the following if paying by credit card:
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CHECKS PAYABLE TO “ARTSCORP”
6955 PINON STREET FORT WORTH, TEXAS 76116