Membership Form
Acton Community Chorus Spring 2014
Name: _________________________________________________________________________
Mailing Address: _________________________________________________________________
Phone: _________________________ Work/Cell Phone:_________________________________
Email: _________________________________________________________________________
Please indicate your voice part: Soprano ____ Alto ____ Tenor ____ Bass ____
Name as you wish it to appear in concert program: _______________________________________
Name as you wish it to appear on rehearsal name tag: _____________________________________
Birthday Month: _____________________
Year Joined ACC (if known) _________________
(Optional for monthly members’ birthday celebration)
Membership Fees: (Please check one)
Full Payment on joining:
$75 per season – Standard Membership Dues
$65 per season – Senior Membership Dues
______
______
Installment Plan Standard:
$25 Paid by February 10
$25 Paid by March 10
$25 Paid by April 14
______
______
______
Installment Plan Senior:
$25 Paid by February 10
$20 Paid by March 10
$20 Paid by April 14
______
______
______
Incentive Plan
______
For scholarship information please contact Chorus President, Margaret Decker, or any board member.
______
Optional contribution to ACC:
Date: _________________
Total Paid:
______
The Acton Community Chorus is a non-profit corporation. If your employer has a matching gifts program
please provide the name of the company:
____________________________________________
How did you hear about the chorus? ___________________________________________________
The Acton Community Chorus loves to take photos! As a member, your photo may appear on our
promotional material (including but not limited to posters, web page, advertisements, Facebook page,
etc.). If you do not wish to participate in photography, please check below:
No Photography Please
Download

Membership Form Acton Community Chorus Fall