Minnesota Membership Contribution Form

ANNUAL MEMBERSHIP CONTRIBUTION FORM
Your support of ARCS Minnesota is greatly appreciated.
Your efforts enable PhD scholars at the University of Minnesota achieve their education and scientific research goals through monetary awards and connection to ARCS members and the community.

Instructions:

1. Annual Contribution Level

Select your Membership Category

There are several levels of membership from which to choose. Scroll down to select your Membership Category. That, plus any additional donations, supports our scholar awards.

The total amount of your contribution is tax deductible to the full extent of the law.

For renewing members, membership payments must be received NO LATER THAN SEPTEMBER 1st.

2. Membership Profile Information

If renewing your membership, correct any errors.

3. Payment Method

Select your payment option of credit card or check.

3. Volunteer Skills and Committee Interests

Complete the Volunteer Skills and Committee Interests section to let us know how you would like to be more involved in ARCS Minnesota.

Minnesota Member Profile

(1) Please review your information and update as needed
(2) Scroll to the bottom and save your information.
(3) If your information does not save correctly, contact minnesota@arcsfoundation.org.

Title/Prefix

First Name *

Nickname (if preferred)

Middle Name

Last Name *

Individual Suffix

Email (Primary) *

Email (Other)

Street Address (Primary)

Address Line 2 (Primary)

City (Primary)

State (Primary)

Zip Code (Primary)

Phone (Primary)

Phone (Mobile)

Phone (Work)

Phone (Other)

If you need to delete your Other address, please erase the fields Line Address 2 (Other), City (Other), State (Other) and Zip Code (Other) and enter a . in Street Address (Other)

Street Address (Other)

Address Line 2 (Other)

City (Other)

State (Other)

Zip Code (Other)

Website - Personal

LinkedIn Handle

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

When you are finished with this page, click the SUBMIT button which will take you to the next page where you can review your information. You can always Go Back to edit and make changes. If you are paying by check or stock, click on “CONTINUE” at the bottom of the next page and YOU ARE DONE. If you are paying by credit card, click on “CONTINUE” at the bottom of the next page and you will be taken to a secure site where you can complete your payment.

Data Management	Fund Development
Marketing/Communications/Website Content	Membership
Programs and Events	Scholar & Alumni Relations
University Relations	Finance

Programs	Membership	University Relations
Development	Annual Gala	Communications
Other

Minnesota Membership Contribution Form

ANNUAL MEMBERSHIP CONTRIBUTION FORM Your support of ARCS Minnesota is greatly appreciated. Your efforts enable PhD scholars at the University of Minnesota achieve their education and scientific research goals through monetary awards and connection to ARCS members and the community. Instructions:

ANNUAL MEMBERSHIP CONTRIBUTION FORM
Your support of ARCS Minnesota is greatly appreciated.
Your efforts enable PhD scholars at the University of Minnesota achieve their education and scientific research goals through monetary awards and connection to ARCS members and the community.

Instructions: