Personal Information
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Payment Information
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Master Card		Visa		Discover		Am. Express
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Donation Opportunities:
Main Stage Coupons provided with the following donation:
		Angels $10,000 +		(48 admissions)
		Executive Producer $5,000+		(40 admissions)
		Producer $2500+		(32 admissions)
		Director $1000+		(24 admission)
		Headliner $500+		(12 admissions)
		Star $250+		(6 admissions)
		Featured Player $150+
		Trouper $50+
		Cameo $10+
I would like my name/names to appear in the program as:
		I would like to contribute the full amount of my donation and purchase seasons tickets separately
		I AM NOT INTERESTED IN SEASON TICKETS, BUT PLEASE KEEP ME ON THE MAILING LIST.
Ticket Information
Theatre Lovers Main Stage Season				@($120)		$
Senior Theatre Lovers Season				@($118)		$
Main Stage Season Tickets				@($90)		$
Senior Season Tickets				@($88)		$
Ticket Purchase Total				$
Donation				$
Total				$