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Arts and Community
in Thornbury
SUPPORTERS' FORM
SUPPORTERS' OPTIONS
I/We wish to become a supporter of ACT in the following category
(please tick box)
Friend
Individual
FACT £10
2
FACTS £15
Corporate
member
Silver
£50 or more
Gold £100 or more
Benefactor
Gift
£1000 or more
Please take a copy of this page on your own printer and send
the completed form with your cheque to the
FACT Membership Secretary (address on the right).
I/We
enclose £................................................
Cheques
payable to Arts & Community in Thornbury
Please
write clearly in Capital Letters.
From (Dr,
Rev, Prof, Mr, Mrs, Ms, Miss)
NAME
1 ------------------------------------------------------------
NAME
2 (Or Business) -----------------------------------------
DPA
Statement. Any contact information provided will be used only
in connection with ACT and for no other purposes.
Become
a FACT (Friend of ACT)
•
Contribute to our fundraising challenge •
Work as a volunteer at our events and other activities •
Spread the word throughout the community
Annual
Membership:
Individual £10.
2 people residing at the same address £15.
Become
a Corporate Stakeholder
•
Contribute to the benefit of the community •
Ensure the long term viability of the project •
Generate more business activity through the attraction of
a new performance and arts venue.
Annual Membership:
Silver
£50 +
Gold
£100 +
Become a BeneFACTor •
Donate a memorable grant to this project and give your company's
name to be recorded as a founder member of the performance
and arts venue
Gift: £1000 or more
FACT
Membership Secretary
36 Queens Walk
Thornbury
BS35 1ST
