St. Andrews Arts Council

2010 MEMBERSHIP FORM

Name:
Phone:
Email:
Address:

Please check your Membership Plan:
All donations receive a tax-deductible receipt/quarterly newletters/advance announcements/name included on programs

____ SINGLE $20
____ FAMILY $40
____ BRONZE $50 - $99 1 complimentary ticket (excluding Opera Benefit)
____ SILVER $100 - $249 2 complimentary tickets (excluding Opera Benefit)
____ GOLD $250 - $499 6 complimentary tickets (excluding Opera Benefit)
____ PLATINUM $500 + 2 Season passes (all events)

____ EVENT SPONSOR $1500+ name on website/Special Recognition/2 Season Passes (all events) /Benefits & Receptions

Total Amount of Contribution $_______

____ Cheque or money order (enclosed)

____ Visa Card #________________________________ Exp.______

Today’s Date________

Signature _______________________________

Please mail to:
St. Andrews Arts Council 99 Augustus St. St. Andrews NB E5B 2E9