Thank you for becoming a Member of the Quick Center! 
Please proceed below to select your Membership Level. 

For questions, please call (203) 254-4010 
or e-mail 
membership@quickcenter.com

Membership Level:

Young Patron Ages 25-40 ($50+)
Fairfield University Alumni ($80+)
Fairfield University Faculty/Staff/Retiree ($100+)
Taste Maker ($85-$149)
Supporter ($150-$249)
Friend ($250-$499)
Artist ($500-$999)
Devotee ($1,000-$2,499)
Principal ($2,500+)
Other

Membership Amount
$
 
My/my spouse's employer will match my gift
Employer Name:
How does the Matching Gift program work? Please call the Quick Center Box Office at 203-254-4010 for more information.
Member Information:
Salutation
First Name*
Middle Name
Donor Maiden Name
Last Name*
Donor Suffix
Spouse's Name (if applicable):
I/we wish to be listed in the Quick Center Program Book as:*
Help us celebrate your birthday by sharing your birthdate!
Month
Day
Affiliation with Fairfield University
If you are an alumnus/a or parent, please indicate your/your child's class year
Member Address
Street Address*
City*
State*
Country
Postal Code*
Preferred Email Address*
Confirm Email*
Business Phone*
Other Phone
Payment Information:
Name On Card*
Card Type*
Card Number*
Card Security Code*
Expiration Month*
Expiration Year*

Please check your information carefully for accuracy before continuing with your order.