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The Downtown Writer's Center
Membership Form

To join the DWC, print this form, complete it, and return it to the address below.

DWC MEMBERSHIP FORM

Name: ____________________________________

Address: ____________________________________

City, ST, Zip: ____________________________________

Phone: ____________________________________

E-mail: ____________________________________


Please check the membership level of your choice:

_____ Individual Membership ($35)*

_____ Family Membership ($60)*

_____ Friend ($75-$99, enter amount here: ________)

_____ Patron ($100-$199, enter amount here: ________)**

_____ Maestro ($200-$399, enter amount here: ________)**

_____ Muse ($400 & up, enter amount here: ________)**


* Current YMCA of Greater Syracuse members may join at these levels at a $15 discount.

** Patron, Maestro and Muse members may select one person to receive a scholarship
to a DWC creative writing course. The director will contact you to help with
your selection.

+ Each Muse member is recognized as a co-sponsor for one visiting author reading.
The director will contact you to help with your sponsorship selection. Muse members
may co-sponsor an additional DWC reading for each $150 over the initial $400 gift
(so a $550 Muse Membership would allow the member to co-sponsor two readings,
$700 would co-sponsor three readings, etc.).


Please return this form with payment to:

YMCA of Greater Syracuse
Attn: Phil Memmer
340 Montgomery St.
Syracuse, NY 13202


Make checks payable to YMCA, or use your credit card:

Card Type (circle): Visa, MasterCard, Discover, Am. Ex.

Card Number: _________________________

Expiration Date: ____________