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) Green Membership: By selecting this option you are signing up to receive all invitations, newsletters, and annual reports electronically. Your participation will help reduce our impact on the environment and also assist the Frist Center in keeping costs low.	Contributing Membership $100 Friend $175 Avant-Garde $250 Patron $500 Benefactor $500 Avant-Garde Benefactor $1000 Director's Circle $1000 Avant-Garde 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:
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