BLUE RIDGE COMMUNITY THEATER

Hampton Square - 11 Mountain Street - Suite D - Blue Ridge - Georgia 30513 - (706) 632-9223

Our mission is to enrich the cultural life and education of the residents and visitors through the productions and performances of all aspects of contemporary and classic theater                                                                   

MEMBERSHIP APPLICATION

NAME:_________________________________________________________________________

STREET/P.O.BOX:________________________________________________________________

CITY:___________________________________STATE:___________________ZIP:____________

TELEPHONE______________________________E-MAIL:__________________________________

( ) Please check here if you are interested in becoming a volunteer.

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ANNUAL DUES:  ( ) $25.00 for Individual  ( ) $40 for Family  ( ) Free for Volunteer

(Volunteer membership is available to individuals who have donated at least 30 hours in the past quarter)

Membership Benefits
    Periodic Newsletter
    Reserve Seats Prior to Performances (please call Box Office in advance for reservations)
    Annual Membership Party

Membership Levels
    Executive Producer* ($10,000 and above)
    Producer* ($5,000 to $9,999)
    Associate Producer* ($2,500 to $4,999)
    Director* ($1,000 to $2,499)
    Designer* ($500 to $999)
    Stage manager* ($250 to $499)
    Player* ($100 to $249) 
    Apprentice ($50 to $99) 
    Friends ($25 to $49)                                                                                

 *includes listing in Playbills

Your Total Contribution: $___________

Form of Payment (please check one)
    ( ) Check (payable to Blue Ridge Community Theater)
    ( ) VISA card number.____________________________________Expiration Date_____________
    ( ) MasterCard card number.___________________________________________Expiration Date__________________

Signature X___________________________Date_________________

THANK YOU for supporting Blue Ridge Community Theater!

For questions or inquiries concerning Blue Ridge Community Theater, contact the Theater at info@blueridgecommunitytheater.com 

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