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Address
CityStateZip
Day Time Phone Evening Phone
Total Amount Enclosed $
Signature
My company will
match my contribution
Senior and
Students $15 Individual
$20Family $35
Benefactors - Directors receive 1-5 theatre tickets to Theatre
non-concert peformances.
2009 productions in Osceola
Benefactor
$75-124 (receive 1 theatre ticket)
Patron $125-$249
(receive 2 theatre tickets) Substainer
$250-$499(receive 3 theatre tickets)
Director
$500-$999(receive 4 tickets) Star
$1,000+ (receive 5 theatre tickets)
Organizations
$50 Business
$100 Volunteer
-20 hours
Capital
Debt Reduction Gift $__________
Paver sponsorship
$100 send in or request a paver form (see website for details.)
HAVE A SEAT
sponsorship $150 send in or request a HAVE A SEAT form (see website for
details.)
Yes I am interested in the following ArtBarn areas:
Visual Arts Theater Writers
Music Dance Community
Outreach
ArtBarn
Renovation Gardens
and Ground Work
Art Explosion
Day Ushering
Please print and return this membership form to the ArtBarn office:
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