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Be A Part Of The Art - Business Contribution Form
(
NOTE
: THIS FORMSITE.COM WIDGET USES INDUSTRY STANDARD SSL CERTIFICATES FOR SECURE TRANSFER OF INFORMATION. )
BUSINESS LISTING
(
Please enter the business name as you wish it to appear in the Season Program.
)
*
Contact Person
First Name
*
Last Name
*
Street Address
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
Work Phone Number
Email Address
Make Your Contribution Today!
Be a part of our Community Partners Network
Enter the amount of your contribution in the corresponding category field below:
Marquee - $35,000 to...
Includes up to
eight season tickets
and
recognition
in each of the event programs
Acclaim- $25,000 to $34,999
Includes up to
eight season tickets
and
recognition
in each of the event programs
Ovation- $10,000 to $24,999
Includes up to
six season tickets
and
recognition
in each of the event programs
Celebration- $5,000 to $9,999
Includes up to
six season tickets
and
recognition
in each of the eight event programs
Inspiration- $2,500 to $4,999
Includes
f
our season tickets
and
recognition
in each of the event programs
Encore- $1,250 to $2,499
Includes
two season tickets
and
recognition
in each of the event programs
Bravo- $625 to $1249
Includes
recognition
in
each of the event programs
Applause- $250 to $624
Includes
recognition
in
each of the event programs
Spotlight- $100 to $249
Includes recognition in each of the event programs
Debut- $50 to $99
Includes recognition in each of the event programs
Additional Season Subscriptions
Many contributors wish to have friends, family, or business associates join them for our Performance Series Events.
For information about the shows,
visit our web page at
www.eastalabamaarts.org/performances
Early Bird Special
Through
May 8
ONLY
(Indicate quantity)
$378 Adult Season Subscription
$339 Seniors (65+) Season Subscription
$160 Student Season Subscription
Season Subscription
(Indicate quantity)
$398 Adult Season Subscription
$359 Seniors (65+) Season Subscription
$160 Student Subscription
Total Amount & Payment
The Membership Service Fee helps defray the costs of season promotional materials, postal expense, website operation, ticket management system, credit card fees, etc.
Membership Service Fee ($20)
Enter the total number of season subscriptions
(
including subscriptions as benefits of contribution; enter "0" if none
)
*
$0.00
Calculate
Total Order Amount
(click "Calculate")
PAYMENT METHOD
*
Check
Credit Card
Invoice
In-Kind
Check #
Credit Card Information:
Credit Card Type
*
American Express
Visa
MasterCard
Discover
Name on Card
*
Credit Card Number
*
Expiration Date (mm/yy)
*
"Security Code" (CVV) 3 digit code on the back of VISA, MC, DISC. Or, 4 digit code on front of AmEx.
*
Notes:
0/255 characters
For Office Use Only
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