Print out and complete the membership form below and return it with 
your check or money order to:
     Tom of Finland Foundation
     P.O. Box 26658
     Los Angeles, CA  90026

PLEASE PRINT ALL INFORMATION LEGIBLY
     

Mr./Ms. Name __________________________________________________________

(Artist Name) _________________________________________________________

Address _______________________________________________________________

City __________________________  ST _______  Postal Code ______________

Country _________________  Home Phone _________________________ 

Work Phone _______________________   Fax ______________________

E-mail: _______________________________________________________

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Induct me as a: ( ) ARTIST* $25 / $35 Outside US & Canada
                  ( ) RECRUIT $50 / $60 Outside US & Canada
                    ( ) SEAMAN $100 / $110 Outside US & Canada
                      ( ) COMMANDER $250 / $260 Outside Us & Canada
                        ( ) COMMODORE $500
                          ( ) ADMIRAL $1,000
                            ( ) LIFETIME $2,500 - one-time payment     						  
*Artists who receive this special low rate are asked to include their nationality 
and date of birth and encouraged to submit reproductions of their work and recruit\
their friends and patrons to become members as well.  
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I wish to make an additional tax-deductible donation to the Foundation's
General Fund in the amount of: 
                               $____________________
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I wish to make an additional tax-deductible donation to the Foundation's
Marcello Lupetti Artist Fund in the amount of: 
                                               $____________________
This money provides financial assistance to artists for participation 
in art fairs, drawing classes, and exhibitions. We invite not only financial
contributions, but artwork from artists and collectors to sell with the
proceeds going to this fund. (Artists seeking a grand should contact the
Administrator for guidelines and an application form.)
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Please check one: ( ) I am a new member        ( ) I am a re-enlisting
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Payment enclosed (check one):

Check#______   Money Order___   Visa___  MasterCard___   AmEx____  Discover ___

Credit Card #____________________________________    Exp:____/____

Signature _______________________________________