Membership Registration Form

Foltz Community Center of East Canton
Membership Registration Form

Foltz Community Center of East Canton

224 North Wood Street

East Canton, Ohio 44730

Please Print Clearly

Check one:

Mr.

Mrs.

Mr. & Mrs.

Ms.

Dr.

First Name:

Last Name:

Street Address:

City:

State:

Zip:

Home Phone:

Business Phone (optional)

Additional Family Members:

Check One:
	Membership	$25 or Volunteer Hours*

* See Manager to arrange to be a volunteer and earn your membership.

	Sustaining Sponsor	$ 100.00
	Endowment Sponsor	$1000.00

One free use of the electronic sign for a birthday or anniversary recognition during membership period
Access to a limited number of FREE faxes and copies
$25 discount on room rental once per year
Annual dinner for members and volunteers