Please Select a Membership Level

Student .............................	$20
Individual ..........................	$35
Family ..............................	$50
Contributor .......................	$150
Sponsor ...........................	$250
Roycrofter .......................	$500
Fra ..................................	$1,000

Membership Amount:             $______________________________

Additional donation enclosed: $________________________

All donations are tax-deductible.
Checks should be made payable to: Roycroft Campus Corporation.

Name _________________________________________________________

Address ________________________________________________________

City ______________________________State __________ Zip____________

Telephone ___________________ Email ______________________________

Thank you for your membership.