Norfolk Community Theatre
Season Ticket and Patron Membership Form
2007-2008
Thank you for
your interest in a Norfolk Community Theatre membership. This
form can be used for season memberships and patron memberships.
After printing and completing this form, mail it with a check for your
total to: (Make sure you complete the mailing/contact information at the bottom of the form.)
Norfolk Community Theatre
PO Box 164
Norfolk, NE 68702-0164
Patron Memberships Options:
| Check here |
Membership Type |
Amount |
| ____ |
Angel (8 Memberships) |
$300 |
| ____ |
Benefactor (6 Memberships) |
$225 |
| ____ |
Supporter (4 Memberships) |
$150 |
| ____ |
Friend (2 Memberships) |
$75 |
Please list my name in the program as: _________________________________
Season Membership Options:
| number of memberships |
Type of membership |
price per membership |
total |
| ____ |
Adult memberships |
@ $24 |
____ |
| ____ |
Student memberships |
@ $12 |
____ |
|
Total |
$ ________ |
All memberships and patrons should fill out the following contact form:
____________________________________________________________
Name
____________________________________________________________
Address
____________________________________________________________
City
State
Zip
(_____)________________ _____________________________________
Phone
email (optional)
Double check before mailing:
- Did you fill out the proper area for the membership?
- Did complete the address/contact form?
- Have you enclosed a check or money order for the total?
Thanks for supporting
The Norfolk Community Theatre