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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 and OPEN UP! (the AEC newsletter).
Donor $50 - Receive an AEC "Members" sticker, plus all of the benefits listed above.
Patron $100 - Receive an AEC Independent Film Series Membership Card, plus above benefits
Associate $250 - Receive an invitation to AEC Future Focus Community Exhibit, plus above.
Sponsor $500 - Receive an invitation to the AEC Conference on Southern Literature or A Reader’s Feast reception to meet guest authors, plus all benefits listed above.
Benefactor - $1,000 + - Receive invitations to receptions and dinners for the AEC Conference on Southern Literature and A Reader’s Feast to meet authors, 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)
OR

Credit Card Payment Information
Visa Mastercard AmericanExpress
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.














     











Arts & Education Council | PO Box 4203, Chattanooga, TN 37405
Email | Phone: (423) 267-1218 | Fax: 423-267-1018

 

Allied Arts Funded Agency     Tennessee Arts Commission