New
	Renewal
	Change of Address
Name
Address
City
State
Zip Code
Daytime Phone
E-mail
Friends Memberships
	Individual ($45)
	Veterans, Seniors & Students ($18.82)
	Family ($76)
	Supporter ($188.20)
	Contributor ($530)
	Patron ($977)
	Founder ($1,882 - $2,499)
	Silver ($2,500 - $4,999)
	Gold ($5,000 - $9,999)
	Platinum ($10,000 + above)
Contact Director of Development, Jim Armstrong (415) 345-7560 For other giving opportunities
Comments

Complete and print this form and mail to address below.

Checks payable to:
Fort Mason Foundation
Please write "Attn.: Membership" on your check

Mail to:
Fort Mason Foundation
Landmark Building A
Fort Mason Center
San Francisco, CA 94123-1382

Call (415) 345-7561 to charge by credit card.

All contributions are tax-deductible to the extent allowed by law.