FICRA (FOX ISLAND COMMUNITY AND RECREATION ASSOCIATION)
MEMBERSHIP DUES RECEIPT
FICRA does the development and execution of activities for Fox Island residents. FICRA is registered with the IRS as a 501(c)(7) and as such any contributions to FICRA ARE NOT DEDUCTIBLE* on an individual’s income tax. (Dues cycle is August 1 thru July 31.)
__Dues (A basic necessity for FICRA to exist) $25
Note: Only dues paying members are eligible to vote on FICRA matters.
__Donation (for general activity support) $____
__Other (specify)_____________________________________ $____
Total: $_____
*Always check with your tax advisor.
Method of payment: cash____ or, check____(check #_______) or, PayPal______*
Date paid: ______________ (make check out to FICRA)
Contributor Information:
Name(s) __________________________________________________________
Address: __________________________________________________________
Telephone: ___________________________, cell: ________________________
e-mail: (for FICRA FLASH mailing only, unless requested otherwise) _______________________________
Volunteer activity willing to help in: _______________________________________________
For the Fox Island phone book, please list as indicated below: (circle yes or no)
Street and/or mailing address yes/no, phone number yes/no, e-mail yes/no
*This form must be filled out and mailed to P.O. Box 25, Fox Island, WA 98333 with check (if using PayPal, also go to ficra.org, then to dues, then to donate).
____________________________________detach here______________________________________
(for member’s records)
Name: ___________________________________ Dues paid good until: August 1st , 20________
Other donation: ___________________________________________________________________________
Volunteer activity: ________________________________________________________________________
JMB 7-25-2013