Bus Trip to New York City
                        Must be received by February 15, 2010

Name_______________________________________

Address_____________________________________

              _____________________________________

Phone _____________________________________

E-mail______________________________________

Member___           Non-member___

Cost:  $49.00

Visa/MC_______________________________

Exp (mo/yr)___________        3-digit security number  ________

Cardholder Signature__________________________

Mail to:
Art Alliance, P.O. Box  811, Lemont, PA 16851  by February 15.