Membership Application
Annual Dues Structure
Congregation/Organization
Membership
<100 members› $100
100-250 members› $250
251-500 members› $500
501-1,000› $1,000
1,000+ members $1500
Individual Membership
Regular $30
Low Income $12
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