Utah Membership Payment

Thank you for renewing your ARCS Foundation, Inc. Utah Chapter Membership!
(Note: Membership and Fiscal Year begins on July 1st)

If you are logged into the members-only portion of the website or using the special link sent in an email, your data will auto-populate. If you are not logged into the members-only portion of the website your data will not auto-populate but is still in the database, so there is no need to enter any information except first name, last name and email. All other information is optional.

Please indicate any directions for donations above the dues payment in the field provided at the bottom of the form.

Also at the bottom of the form you may choose to use a credit card or select the "Pay Later" option to send in a check or use Venmo. Note: If choosing the "Pay Later" option at the bottom of the form, the Credit Card Processing Fee will be automatically removed or you can uncheck the box for that additional charge.

Membership Information

Membership Type

Active Member (Utah) - $ 600.00

Young Professional (Utah) - $ 275.00

- none -

Additional Donation

I want to provide even more support to scholars by covering the credit card processing fees on my donation. Note that f you are mailing in a check, the credit card processing fee will automatically set to zero when you choose "Pay Later" at the bottom of the form.

Credit Card Processing Fee

Total Amount

Member Information

Title/Prefix

First Name *

Nickname (if preferred)

Middle Name

Last Name *

Email *

Street Address

Address Line 2

City

State

Zip Code

Phone (Mobile)

Phone (Other)

If you have generously donated an amount over the membership dues, please use the following field to let us know how you would like your donation used: Where Most Needed, Chapter Operations, Scholar Awards, Ruth Novak Endowment.

Directions

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

ARCS Foundation--Utah Chapter
PO Box 91162, Salt Lake City, UT 84109