Membership

Membership Application

Print, fill out, and mail to:
Fredericksburg Center for the Creative Arts
Membership Chair
813 Sophia Street
Fredericksburg, Virginia 22401

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 Maintenance;
[ ] Reception Hospitality;
[ ] Hangings;
[   ] Special Events & Fundraiser;
[ ] Other.

[ ] 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 site at http://fccava.org/CallForEntries.html

813 Sophia Street Fredericksburg, VA 22401 - (540) 373-5646
Open Sunday thru Saturday 12 - 4 pm [except closed Tuesday & Wednesday]
by volunteer docents.