Please print out form, fill in and mail.

Membership
___Individual $35  ___Family $50

Annual Fund Gifts
___$2500+ Advocate
___$1000+ Benefactor
___$500+ Patron
___$250+ Sponsor
___$100+ Friend
___$1 - $99 Donor
___I am interested in joining SAC's Medici Society. Please send me Medici information.
___I am interested in Corporate Membership. Please send me information.

PLEASE NOTE: MEMBERSHIPS AND CONTRIBUTIONS ARE FULLY TAX-DEDUCTIBLE.

Name(s) __________________________________________

Address __________________________________________

City _____________________________________________

State ______   Zip ____________

Phone(s)  _________________________________________

Credit Card # ______________________________________

Exp. date ________ Signature ________________________