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Membership Application
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: _________________________________________________
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

General Contributions
I would like to make an additional contribution of $_____________ (Make checks payable to RITA Foundation.)

If your employer is a matching gift company, please provide the information requested below:
Name of Company:_______________________________________
Contact Name:__________________________________________

Gift Instructions

O Please use my gift wherever it is most needed.
O Granting and Sponsorship programs only.
O Endowment Fund ($1000 minimun)

TOTAL AMOUNT ENCLOSED: $____________________
Please mail form together with your membership fee and/or contribution to

42675 Arjay Drive
Murrieta, CA 92562

For more information contact Kari at (909)696-7019 or email her at