Phone #

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Would you like your donation to remain anonymous?

Yes

No

I have chosen the following donor option:

Patron (up to $99)

Actor ($100 - $499)

Director ($500 - $999)

Producer ($1000 - $4999)

Underwriter ($5000 - $9999)

Benefactor ($10,000 - $24,999)

Angel ($25,000 +)

If you have selected Producer, what donor gift would you like?

Small Lobby Star

8 Free Show Tickets

If you have selected Underwriter, what donor gift would you like?

Medium Lobby Star

Sponsor A Show/12 Free Show Tickets

If you have selected Benefactor, what donor gift would you like?

Large Lobby Star

Sponsor Two Shows/25 Free Show Tickets

If you selected Angel, what donor gift would you like?

Inquire about naming a room

Large Lobby Star

Sponsor a season/50 Free Show Tickets