Become A Member
2021-2022
Annual Membership Level (Check One)
______ Individual Membership ($35 – $99)
______ Family Membership ($50 – $199)
______ Supporter ($200 – $349)
______ Benefactor ($350 – $2,000)*
______ Business Membership ($150 – $349)
______ Business Sponsor ($350 – $2,500)*
*Benefactors and Business Sponsors at $2,000+ contribution level also featured as event sponsors in season’s programs
YES I’D LIKE TO BECOME A MEMBER!
Name(s): __________________________
____________
____________
Street Address: _____________________
City/State/Zip: _____________________
Email: ____________________________
Phone: (_____) ______________________
Amount enclosed $__________________
Check payable to: LSCFTA
Please send check and form to: LSCFTA,
49 S. Portage St, Westfield, NY 14787