Print out this form and return with your registration form or at any time during the year. Your support is much appreciated.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Mr./Mrs./Ms. ______________________________________ Phone __________________
E-Mail ________________
Mailing Address _____________________________________________________________
_____________________________________________________________________________
Check Membership Level:
___Corporate $250.00 ___Supporter $25.00 ___Student $2.00
___Sponsor/Business $100.00 ___Family $10.00 ___Other
___Patron $50.00 ___Individual $5.00
Check enclosed for $____________________ Check Number _________
(Make checks payable to Friends of the Visual & Performing Arts)
I/We are employed by ___________________________________, which has a matching gift program.
_______Please do not include my name in the annual Member Listing.
_______Please send me the most recent annual report.
Please call me about: ___Volunteer Opportunities ___Teaching
___Fundraising/Grant Writing
I am interested in program offerings in (check all that apply)
___ Music ___Visual Arts ___Dance ___Drama
___International Arts ___Other $________________
