WOLF TRAP MEMBERSHIP – MANUAL FORM
This form is intended for manual completion. Information can be typed into the boxes then printed. Or print a blank form and hand-write all information. Submit the hardcopy via mail or FAX. The mailing address and FAX number are found below. (This information cannot be submitted online.)

Personal Information
Mr. Dr. Mrs. Ms. Miss Mr. & Mrs.
Other _______________________________
Name

Address

Home Phone

Business Phone

E-mail

Please list me as follows in Wolf Trap publications, as applicable:
_________________________________________________________________________

Membership Category
Please enter my membership in Wolf Trap Associates in the following category:
Friend $50
Curtain Raiser $125
Silver Society $250
Conductor $500 *
Director $1,250 *
Producer $3,000 *
Executive Producer $5,000 *
Great Performer $10,000 *
President's Circle $25,000 *

Please include me in Young Associates (ages 21-39) programs.

* Installment payments are possible at these levels. Please call (703) 255-1942 for more information.
I wish to pay in 2 installments or in 4 installments.

Additional Donation
I would like to make an additional tax-deductible contribution to Wolf Trap in the amount of: $ . Direct it toward: Education Opera Master Classes General Fund

Payment Method
My check for $ is enclosed (payable to Wolf Trap Foundation).
Charge $ to my: American Express VISA MasterCard Discover
Account No. Exp. Date. (MM/YY) /
Signature ____________________________________________

Matching Gift
My company has a matching gift program, and I have enclosed the required form.
Company Name ____________________________________________

United Way/Combined Federal Campaign
I am enclosing a copy of my United Way/Combined Federal Campaign Commitment Form as proof of my gift to Wolf Trap.

Mailing Address / FAX Number
Wolf Trap Associates
Wolf Trap Foundation for the Performing Arts | 1645 Trap Road | Vienna, VA 22182
FAX: (703) 255-1918