Friends of the Fox
Print and send this application along with your check to:

The Fox Theatre
660 Peachtree Street NE
Atlanta, GA 30308
   

Name:

Phone:
   
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Address:

  
   
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City:

State:

Zip:
     
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Email:    
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Membership Type (check one):

  

$25.00 - Basic Membership

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$50.00 - Sponsoring Membership

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$100.00 - Contributing Membership

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$250.00 - Patron Membership

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$500.00 - Benefactor Membership

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Bank Name:

Branch Location:
   
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City:

State:
   
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Signature

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