Membership Form Print this form and mail to the AEC (3069 South Broad Street, Suite 2,Chattanooga, TN 37408)
Name_________________________________________________________________ Address_______________________________________________________________ City/State/Zip_________________________________________________________ Home Phone_____________________Work Phone_________________________ E-mail________________________________________________________________
New Membership Renewal
Membership Categories (please check one)
FRIEND $35 - Receive advanced notice of programs through the AEC e-newsletter Open Up!
DONOR $50 – Show your support with your AEC MEMBER sticker, plus the benefits listed above
PATRON $100 – Receive an AEC Film Club Card, plus all the benefits listed above
ASSOCIATE $250 – Receive an invitation to AEC's annual fundraiser, Art.a.ma.jig, plus all benefits listed above
SPONSOR $500 – Have fun at the AECConference on Southern Literature VIP Opening Reception featuring Conference writers and members of the Fellowship of Southern Writers, plus all benefits listed above
BENEFACTOR - $1,000+ - Receive invitations to VIP Receptions and Dinners for the AEC Conference on Southern Literature featuring Conference writers, plus all benefits listed above
I am interested in remembering AEC in my will My employer’s matching gift form is enclosed.
Payment Information: My check is enclosed (Make checks payable to AEC)
Credit Card Payment Information Visa Mastercard AmericanExpress Discover Name (as it appears on card)_________________________________________ Account No.__________________________________________________________ Expiration Date_______________________________________________________ Signature_____________________________________________________________ Total Amount $___________________
The Arts & Education Council is a not-for-profit charitable organization exempt from taxation under section 501(c)(3) of the Internal Revenue Code. All contributions are tax deductible to the extent permitted by law.