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Membership Application

Annual Dues Structure

Congregation/Organization Membership                 Individual Membership

Under 100 members... $100                                         Regular.............$30

100-250 members........$250                                         Low Income.....$15

251-500 members....... $500

501-1,000 members.... $1,000

1,000+ members......... $1,500

Membership is open to any individual, faith community or non-profit organization in the Greater Rochester metropolitan area that supports and endorses the vision and mission of RocACTS, agrees to follow its Bylaws and is approved by the Board.

Individual or Organization/Congregation Name:  ____________________________________

 

_______________________________________________________________________________

 

Address: _______________________________________________________________________

 

              ________________________________________________________________________

 

Phone:  ________________________________________________________________________

 

E-Mail: _________________________________________________________________________

 

For Organization/Congregations Members:

Faith Leader/Director Name:  _____________________________________________________

 

Signature: ______________________________________________________________________

Return this application with your dues to: 121 N. Fitzhugh St., Rochester, NY  14614

 

Congregation/Organization Member dues can be made in 2 installments.

Individual Member Dues must be paid in full at time of application. 

 

Make checks payable to RocACTS

For Printable form, click here

For fillable form, click here

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