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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.


Maiden Name

Grad. Year

Home Address



Home Phone

Cell Phone


Email Address Job Title

Business Name

Business Phone

Business Address



Spouse Name

Maiden Name

Grad. Year


 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: Web:

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


CES 2016-2017 Season Brochure  
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