Membership Form

It is easy to become a member of The Arc.
Just print this page and mail the completed form and your check payable to:


The Arc of Frederick County, Inc.
Membership Processor
620-A Research Drive
Frederick, MD  21703


New levels of giving!
_____ Gold ............$1,000 and over

_____ Silver ............$500 - $999
_____ Bronze ............$250 - $499
_____ Patron ............$100 - 249
_____ Friend ............ $50
_____
Individual or Family Member ............ $25

 

New!  Receive a free pack of Arc of Frederick County Post-It Notes with your membership donation of $25 or more!


Name: ____________________________________________

 

Street Address:___________________________________________________

 

City: ____________________________   State:  _______________  

 

Zip:  ________________

 

Phone: _______________________________

 

Email: _________________________________

 

_____ Check Enclosed


_____ Please charge my     ____ Visa   ____ Mastercard

Credit Card Number ______________________________________________

Expiration Date __________________     Amount _____________

Name on Card _________________________________________

Signature _________________________________________

 


The Arc of Frederick County is a 501(c)3 organization. Donations and information filed under the Maryland Charitable Organizations Solicitations Act may be obtained from the Maryland Secretary of State, State House, Annapolis, MD 21401.


THANK YOU FOR YOUR SUPPORT

Download The Arc's Membership Brochure.