Cultural Arts Registration Membership OpportunitiesBarton College/Wilson Symphony$0 Symphony$25 Symphony Friend$50 Symphony Family$100 Symphony Donor$250 Symphony Advocate$500 Symphony Patron$1000 Symphony Sustainer$2500 Symphony Philanthropist$5000 Symphony BenefactorFriends of Hackney Library$0 FOHL$25 FOHL Friend$50 FOHL Family$100 FOHL Donor$250 FOHL Advocate$500 FOHL Patron$1000 FOHL Sustainer$2500 FOHL Philanthropist$5000 FOHL BenefactorFriends of Visual Arts$0 FOVA$25 FOVA Friend$50 FOVA Family$100 FOVA Donor$250 FOVA Advocate$500 FOVA Patron$1000 FOVA Sustainer$2500 FOVA Philanthropist$5000 FOVA BenefactorTheatre at Barton$0 Theatre$25 Theatre Friend$50 Theatre Family$100 Theatre Donor$250 Theatre Advocate$500 Theatre Patron$1000 Theatre Sustainer$2500 Theatre Philanthropist$5000 Theatre BenefactorSignature Membership$0 Signature$1500 Signature Sustainer$3000 Signature Philanthropist$6000 Signature BenefactorDonor RecognitionRecognition Name*Please enter your name, or your organization's name, exactly as you wish it to appear in our Honor Roll of Donors. If you wish to remain anonymous, simply enter "anon" in this field.Payment InformationTotal $0.00 Credit Card* DiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name Confirm Your Name*Cardholder Address* Address Address Line 2 City State / ProvinceAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cardholder Email* Cardholder Phone*Membership Duration* I understand that this membership is valid for the duration of the current fiscal year (July 1 - June 30) and ends on the immediately approaching June 30. Permission to Use Data* I understand that by submitting this form I am granting Barton College permission to process my personal data and to contact me with information relevant to the services or opportunities offered, either directly or indirectly, through Barton College. NameThis field is for validation purposes and should be left unchanged.
