Frist Center for the Visual Arts

Enrollment/Renewal

Please enroll/renew me as a member at the indicated level of support for one year:

Step 1: Membership

* = Required Fields

Basic Membership
$45 Individual
$60 Dual
$65 Family
$25 Teacher
$25 College Student
$35 Senior (65 & over)
$45 Dual Senior (65 & over

Contributing Membership
$100 Friend
$250 Patron
$500 Benefactor
$1000 Director's Circle
$2500 President's Circle
Please waive my Contributing Level benefits to receive full tax-deductibility

Additional Donation: $

* Primary Member's full name as it will appear on membership card:

Dual Member's full name as it will appear on membership card (if applicable):

Child's full name:

Birth Date:

Billing Address
First Name *
Last Name *
Address 1 *
Address 2
City *
State *
Zip *
Home Phone *
Business Phone
Email *

Mailing Address (If different than billing address)
Name
Address 1
Address 2
City
State
Zip