MEMBERSHIP APPLICATION
To become an Arts Council member, kindly return this form by mail.  Thank you for your support!

Please check off your level of membership:

 $35

 $35       $1-$24,999  

 $75       $25,000-$49,999

 $100     $50,000-$99,999  

 $150     $100,000-$499,999  

 $250     $500,000 and up

                                                   New Member                                 Renewal            

*ACMA membership’s benefits are annual and renewable on the anniversary of the gift.*

PAYMENT METHOD:
CHECK:  Please make checks payable to the Arts Council of the Morris Area.

CREDIT CARD:  If paying by credit card  please note that there is a $3.00 charge for credit card payments:  
Circle one:            VISA                        Mastercard           

Credit card #                                                                                                                                        Expiration                                            
Name                                                                                                                     Title                                                                                      
Business Name                                                                                                                                                                                                  
Street Address                                                                                                                                                                                                     
Town                                                                                                     State                        Zip Code                                                             
Phone_______________________________________ Email __________________________________________________
Name as you wish it to appear for contributor's list:                                                                                                                                    

TAX DEDUCTIBILITY:
All contributions are tax-deductible less the fair market value of the benefits provided, unless benefits are declined.


OTHER WAYS TO SUPPORT THE ARTS COUNCIL:
  I am interested in volunteering at the Arts Council. Please contact me / us.

How did you hear about us? _________________________________________________  

 After filling out this form, please mail it to: 

Arts Council of the Morris Area
163 Madison Ave., 6th Floor
Morristown, NJ 07960