...for the education and benefit of the public

by the promotion and fostering of

music, drama, horticulture and the fine arts.
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Become a member of the Friends of the

 Cape Cod Center for the Arts!

Just print out this page and mail or fax it to us!

Individual Membership
Level: $50.00
Family Membership
Level: $75.00
Friend Membership
Level: $100.00
  
 
Contributor Membership
Level: $250.00
Supporter Membership
Level: $500.00
Patron Membership
Level: $1,000.00
Backer Membership
Level: $3,000.00
Sustainer Membership
Level: $5,000.00
Benefactor Membership
Level: $10,000.00

YES, I am (we are) pleased to make a gift to the

Cape Cod Center for the Arts.

  

(     ) Benefactor..$10,000+        (     ) Patron...$1,000       (     ) Friend…$100

(     ) Sustainer....$5,000          (     ) Supporter....$500      (     ) Family....$75

  

(     ) Backer...$3,000          (     ) Contributor..$250      (     ) Individual…$50

                           

(     ) In memory of _____________________________________

                            

(     ) In honor of _______________________________________

If acknowledgements should be sent for memorial or honor gifts,

please enclose names and addresses.

 

(     ) I/We have included the CCCA in my/our estate plan.

(     ) Please send me information on including the CCCA in my/our Will(s).

The Cape Cod Center for the Arts is a 501(c)(3) organization.  Your donations are tax-deductible as allowed by law.

CCCA Donor Information

Please print Name(s) as you want to be listed.

 

___________________________________________________

Dr., Mr., Mrs., Ms., Miss, etc.

___________________________________________________

Mailing Address                                                City                                State                             Zip

 

Home telephone:  _____/____________________ 

Office telephone:  _____/____________________

 

Email Address:  _____________________________________

(     )  I/We prefer to be listed as “Anonymous”.

 

(     ) Check is enclosed payable to Cape Cod Center for the Arts.

 

(     ) I would like to make my gift of $______________ by credit card.      MasterCard/Visa (circle one)

Card #  ________________________________  Exp Date __________

Cardholder Name  __________________Signature _________________

 

(     ) Matching Gift form from my employer is enclosed.

 

Thank you for your continued support of the Cape Cod Center for the Arts!

     CCCA,  P.O. Box 866, Dennis, MA  02638        Phone:  508-385-3618   FAX:  508-385-8162