Please print the following and mail with membership payment to:

The Arts Council

P O Box 318

Fayetteville, NC 28302-0318

I want to strengthen the arts!

The Arts Council of Fayetteville/Cumberland County

   Apprentice.......................................................................$25.00
   Bottega............................................................................$50.00

   Avant-garde.....................................................................$75.00

   Patron............................................................................$250.00
   The Bread & Cheese Club..............................................$250.00
   Curator...........................................................................$500.00
   Model...........................................................................$1000.00
  Connoisseur..................................................................$2,500.00
   Muse............................................................$5,000.00, & above

 

This is a membership for: _____Individual _____Business _____Foundation

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Name(s) of  member(s) as you would like to be listed

____________________________________________________

Contact Name for Business or Foundation memberships only

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Address _____________________________________________

City/State/Zip _________________________________________

                                                                           Are you an artist? (please circle one):   Yes   No

                                                                           If yes, what is your discipline(s): ____________________________

Visa MasterCard  _____  Check Enclosed  _____

Card # ________________________________________

Expiration Date _______________ 3-digit security code _______

Signature ______________________________________

Date ________________________

Check if we may not publicize your gift._____yes _____no