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Becoming a CES Member Please fill out the following form and mail to FSU Foundation, Inc., 101 Braddock Road, Frostburg, MD 21532-2303.

Name

Maiden Name

Grad. Year

Home Address

City

State

Home Phone

Cell Phone

Zip

Email Address Job Title

Business Name

Business Phone

Business Address

City

State

Spouse Name

Maiden Name

Grad. Year

Zip

 I/we would like to become a CES Member at the following level:  Friend ($60)

 I decline the 20% ticket discount to ensure my membership fee is receipted as tax-deductible

 Advocate ($100)  Encore ($250)  Please add  $100

 $250

 $500

 $1,000

 Other $ _____________ as an additional gift

 Designate my additional gift to CES for:  General Operations and Programming – 70454

 Arts for the School Day – 70434

 Arts for After School – 70344

 Maryland Symphony Orchestra – 70345

 Student Career Development and Experiential Learning – 70346

 CES Endowment 60th Anniversary Campaign

 I have enclosed a check made payable to the FSU Foundation, Inc.  I authorize the following credit card payment option:  Renew at the same level every August.  I prefer to renew on my own each year, please only charge $ _____________. Credit Card Number

Exp. Date Security Code

Signature Required

 My employer/spouse’s employer will match my gift. Employer’s name _____________________________________  I have enclosed a completed matching gift form.

 I will send a completed form.

 I submitted online with my employer.

Thank you for becoming a member of CES. For more information about membership and gifts to CES, please contact: Mary Jane Plummer Director of CES 301.687.7495 Room 204, Lane University Center Email: mplummer@frostburg.edu Web: www.frostburg.edu/waystogive

For more information about the FSU Foundation, please contact: FSU Foundation, Inc. 301.687.4161 101 Braddock Road, Frostburg, MD 21532-2303 Web: foundation.frostburg.edu

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CES 2016-2017 Season Brochure  
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