APPLICATION FOR MEMBERSHIP
(Please fill out and print)
| Name: | |
| Address: | |
| City, State, Zip: | |
| Phone: | |
| Email Address: | |
| To help plan future activities, please indicate your interests: | |
| Please enroll me as a: | ||||
| ____Senior | $10.00 | ____Friend | $50.00 | |
| ____Individual | $15.00 | ____Sponsor | $100.00 | |
| ____Family | $20.00 | ____Supporter | $250.00 | |
| ____Contributor | $25.00 | ____Patron | $500.00 | |
| ____Benefactor | $1000.00 | |||
Membership prorated throughout the fiscal year October 1 - Sepember 30. Other donations can be made to specific funds such as Scholarship, Renovation, Theatre Arts, and School Programs.
Please print form and mail with check to:
Jordan River Arts Council
P.O. Box 1178
East Jordan, MI 49727