Brazier Society Individual Member Registration

The Brazier Society of WaterFire Providence

Become a Brazier Society Member for the 2017 WaterFire season.

Membership Level*
- Prometheus Society ($10,000)
- Icarus Society ($5,000)
- Hestia Society
- Athena Society ($1,500)
Name*
First Last
How would you like your donation to be recognized?
If your donation is in honor or memory of someone please write your dedication exactly as you would like it to appear in print and online. If you simply wish to use your full name then you may leave this section blank.
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Sign me up for WaterFire's email newsletter.
- Yes, please.
- No, thank you.
Product Name
Price: $0.00 Quantity:

Any questions, please contact Anja Josuweit, Development Coordinator, at 401-273-1155×140 or anja@waterfire.org or Nicole Purcell, Philanthropy Director, at 401-273-1155×171 or nicolep@waterfire.org.