ARSIRN SUPPORT FORM 2015

ARSIRN has 3 levels of annual support; each includes a $35 donation to the Ayn Rand Center for Individual Rights (ARC). Note: ARSIRN is a Florida registered not-for-profit corporation but is not an IRS 501c3.A tax-deductable donation to ARC (the Ayn Rand Center) requiers a separate check.

Kindly deliver ARI's quarterly newsletter, IMPACT, by: ____ email ____ regular mail.

___ Supporter: $75 ($125 couples) includes the ARC contribution, a 1-oz. copper coin from a D'Anconia mine; 20% discount on books at all Books-A-Million stores or free expedited shipping on their on-line orders; free attendance at ARSIRN suppers, study groups and discussion colloquia.

___ Sustaining $175 ($225 couples) includes all Supporter privileges, free attendance at ARSIRN-sponsored Renaissance Academy events, a copy of the next issue of the quarterly The Objective Standard for yourself or a designee .

___ Benefactor: $275 ($350 couples) includes all Supporter and Sustaining privileges plus invitations to private, limited-seating, dutch-treat brunches or lunches with Distinguished Scholars speakers.

____ Student Member: $15 or volunteer to assist at ARSIRN functions as needed. plus contribution to ARI/ARC
I attend (name of school): ________________________________________

___ Note: I (we) already donate to ARC/ARI. Use the $35 portion for ARSIRN activities.

Fill in and mail to
P.O. Box 7173, Naples, FL 34101-7173

Date Submitted: ______________________________

First Name: _____________________________________________

Nickname : _____________________________________________

Last Name: _____________________________________________

Street Address1: _____________________________________________

Street Address2: _____________________________________________

City, State, ZIP: ____________________________________________

Email: ______________________________

Day/Night Phone: _________________ /_________________________