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Champion $5,000 Benefactor $2,500-$4,999 Partner $1,000-$2,499 Advocate $500-$499 Supporter $250-$499 Patron $100-$249 Donor $50-$99 Friend $26-$49 Member $25 Legacy Pledge any amount IN-KIND Donations are also welcome |
Please print this application and send it to
RITA FOUNDATION 42675 Arjay Drive, Murrieta, CA 92562
NAME: _________________________________________________
ADDRESS:_______________________________________________
_______________________________________________________
PHONE: ________________________________________________
FAX: __________________________________________________
EMAIL: ________________________________________________
Enclosed is my annual Membership fee:
O Individual - $25
O Private Business - $50
O Franchise or Public Stock Company - $100
Please make checks payable to RITA Foundation.
I am an artist, working in the following discipline(s):
O Literary Arts
O Performing Arts
O Interdisciplinary Arts
O Media Arts
O Visual Arts
O Other
If your employer is a matching gift company, please provide the information requested below:
Name of Company:_______________________________________
Contact Name:__________________________________________
Phone:_________________________________________________
Fax:___________________________________________________
Email:_________________________________________________
TOTAL AMOUNT ENCLOSED: $____________________
Please mail form together with your membership fee and/or contribution to
For more information contact Kari at (909)696-7019 or email her at Skousen@ez2.net
