Please Select a Membership Level
Effective 1/1/08 (3/1/08 for renewals)

Student or Senior..............	$25
Individual ..........................	$40
Family ..............................	$60
Contributor .......................	$150
Sponsor ...........................	$250
Roycrofter .......................	$500

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.