Friends of Franklin Park Art Center

Membership Form

Step 1: Choose your annual giving category/giving amount

Membership Levels and Benefits

  •  
    Senior/Student $25.00 (65 and over/currently enrolled)
    • "Electronic Letter"
    • 1 Bumpersticker
  •  
    Individual $50.00
    • "Electronic Letter"
    • 1 Bumpersticker
  •  
    Family $75.00 (Household, with unlimited number of children)
    • "Electronic Letter"
    • 2 Bumperstickers
    • 1 "Buy one, get one free from Friends" "E-coupon"
    • 1 "E-coupon" for $25.00 off art for sale in the Gallery
  •  
    Patron $150.00
    • "Electronic Letter"
    • 2 Bumperstickers
    • 2 "Buy one, get one free from Friends" "E-coupon"
    • 1 "E-coupon" for $25.00 off art for sale in the Gallery
  •  
    Artist $300.00
    • "Electronic Letter"
    • 2 Bumperstickers
    • 2 "Buy one, get one free from Friends" "E-coupon"
    • 1 "E-coupon" for $50.00 off art for sale in the Gallery
  •  
    Director $500.00
    • "Electronic Letter"
    • 2 Bumperstickers
    • 2 "Buy one, get one free from Friends" "E-coupon"
    • 1 "E-coupon" for $50.00 off art for sale in the Gallery
    • 2 complimentary tickets to a special event
  •  
    Producer $1000.00
    • "Electronic Letter"
    • 2 Bumperstickers
    • 2 "Buy one, get one free from Friends" "E-coupon"
    • 1 "E-coupon" for $50.00 off art for sale in the Gallery
    • 2 complimentary tickets to a special event
    • A $100.00 complimentary gift certificate to Magnolias Restaurant

Step 2: Complete your donor information

First Name:
 
Middle Name:
 
Last Name:
 
Street 1:
 
Street 2:
 
City:
 
State/Province:
 
Zip/Postal Code:
 
Email Address:
 

Step 3: Complete your credit card/payment information

 
Check (payable to “FoFPAC”) enclosed,

or

 
Charge my credit card
Card Type:
 
Credit Card Number:
 
CVV Number:
 
Expiration Date:
 
Signature:
 

Thank you! Please return this form
with your payment to FoFPAC to PO Box 2127, Purcellville, VA 20134.