Utah Membership Payment

ARCS® FOUNDATION, INC.
Advancing Science in America®
MEMBER CONTRIBUTION FORM 2023-2024
(Note: Membership and Fiscal Year begins on July 1st)

Membership Information

Membership Type

Active Member (Utah) - $ 600.00

Young Professional (Utah) - $ 275.00

- none -

Additional Donation

$ 1.00

If 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 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 is.help@arcsfoundation.org.

Title/Prefix

First Name *

Nickname (if preferred)

Middle Name

Last Name *

Individual Suffix

Preferred Communication Method (Primary)

Email
Postal Mail
SMS (text)
Phone

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)

Fax

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

Website - Work

Instagram

LinkedIn Handle

Twitter Handle

Facebook

Please provide a headshot of yourself not to exceed 4 megabytes

Photo

Current Employer

Occupation or Profession

Organization(s) I am affiliated with

Employer Matching Funds

Yes No

Education

Person(s) who sponsored and/or introduced you to ARCS

Year Joined ARCS Foundation

Spouse / Significant Other Name

Spouse / Significant Other Occupation or Profession

Spouse/Significant Other Current/Past Employer

Spouse / Significant Other Education

ARCS Foundation--Utah Chapter
1338 S Foothill Dr #324, Salt Lake City, UT 84108

Annual Scholar Award Event	Communications	Event Planning/Management
Finance	Fund Development	Fundraising Events/Benefits
Governance/Policy	Hospitality	Member Relations
Nominating	Printing	Programs/Education/Field Trips
Publications/Newsletter	Public Relations	Scholar Relations/Outreach
Special Events	University Relations	Website/Computer

Accounting/Budget Planning/Finance	Art/Graphics	Communications
Community Connections	Database Management	Desktop Publishing
Event Planning/Management	Floral Design/Favors/Decoration	Fundraising
Legal	Marketing/Public Relations	Photography
Publishing/Printing	Sales	Special Events
Strategic Planning	Website/Computer	Writing/Editing/Proofreading