Membership Application

Please print page 1 & mail to:
Fredericksburg Center for the Creative Arts
Volunteer Coordinator
813 Sophia Street
Fredericksburg, VA 22401

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Name _______________________________________________________

Address _____________________________________________________

City ______________________________ State _____ Zip __________

Phone __________________ E-Mail ____________________________

Select level of tax deductible participation:
    Individual, $25     Donor, $100 - 249
  Family (includes children under 18), $30   Sponsor, $250 - 299
  Full time Student, $10   Patron, $300 - 499
  Senior Citizen (62+), $10   Fellow, $500 - 999
  Friend, $50 - 99   Benefactor, $1,000 +


[  ] Enclosed is my Check # _______________  for $ ______________

For  [   ] Renewal    [   ] New Membership.      Today's Date:  _____________

[   ] I would like to volunteer:
[   ]   Docent;
[   ]   Education;
[   ]   Publicity;
[   ]   Building & Grounds;
[   ]   Hospitality/Reception;
[   ]   Exhibits;
[   ]   Fundraising;
[   ]   IT Support;
[   ]   Membership.
 [   ] I am an artist, and would like to receive call-for-entry forms for upcoming FCCA art exhibits
      instead of printing the form from this FCCA website@ http://www.FCCAva.org/CallForEntries.html
 
PDF (easier to print)

813 Sophia Street Fredericksburg, VA 22401 - (540) 373-5646
 Open 12-4 p.m. Wednesday-Monday & 11-4:00 Saturday (Closed Tues.)
by volunteer docents.
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