MEMBERSHIP FORM MEMBERSHIP FORM

Document Sample
MEMBERSHIP FORM MEMBERSHIP FORM Powered By Docstoc
					                     MEMBERSHIP FORM
              YES, I (we) want to join the Lake County Theatre Company (LCTC).

      ❏   General -$10.00/year, per person
      ❏                       -
          Student (18 & under) $5.00/year, per person
      ❏   SPONSOR -      $025.00/year, per person - - Includes 2 free tickets per year*
      ❏   PATRON         -
                         $050.00/year, per person - - Includes 4 free tickets per year*
      ❏   ANGEL        - $100.00/year, per person - - Includes 6 free tickets per year*
                               * good for any LCRT production


Name(s) ____________________________________________________________________________

Address _____________________________________ Town ____________________ Zip _________

Phone _____________________________________         Cell Phone ____________________________

Email ______________________________________

               Enclose a check payable to “Lake County Theatre Company” (
                    Send to: Winkie Griffin – PO Box 6495, Clearlake, CA 95422



                     MEMBERSHIP FORM
              YES, I (we) want to join the Lake County Theatre Company (LCTC).

      ❏   General -$10.00/year, per person
      ❏                       -
          Student (18 & under) $5.00/year, per person
      ❏   SPONSOR -      $025.00/year, per person - - Includes 2 free tickets per year*
      ❏   PATRON         -
                         $050.00/year, per person - - Includes 4 free tickets per year*
      ❏   ANGEL        - $100.00/year, per person - - Includes 6 free tickets per year*
                               * good for any LCTC production


Name(s) ____________________________________________________________________________

Address _____________________________________ Town ____________________ Zip _________

Phone _____________________________________         Cell Phone ____________________________

Email ______________________________________

               Enclose a check payable to “Lake County Theatre Company” (
                    Send to: Winkie Griffin – PO Box 6495, Clearlake, CA 95422