The Arc of High Point
Membership Application

  I support the Core Values of The Arc:

·        People First

·        Democracy

·        Visionary Leadership

• Community Participation

Your membership with The Arc provides you with the following benefits:

• Representation at the state and national levels
• Quarterly newsletters from The Arcs of High Point, North Carolina, and The United States
• Recognition on our website and Annual Report
• Discounted products or services for financial planning, insurance rates, financing, credit card

Your tax-deductible contribution may be eligible for a matching gift by your employer. Ask your Human Resources representative how to double, or even triple, your gift.

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 Please fill out the following and return to The Arc:
 

  Name:_____________________________________________________________

  Address:___________________________________________________________

  City, State, Zip:______________________________________________________ 

  Phone: ____________________________Email my news______________________________

 � Self-Advocate/Student $10                                        � Supporter $25-99

 � Partner $100-249                                                        � Benefactor  $250 or more 

Payment type:       ___Check       ___MC         ___Visa

Account #____________________________________

Exp. Date_________________    ________________________________________

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Mail this application with payment to: The Arc of High Point
153 E. Bellevue Drive
High Point, NC  27265

336.883.0650