2024-2025 Membership & Contribution Form

Billing Address

First Name *

Last Name *

Billing Address *

City *

State *

Zip Code *

Phone Number *

Email Address

Membership Levels

Enter the number of Memberships for the 2024-2025 Season.

Number of Memberships, Paid all at once

	Individual (20.00)
	Supporter ($50.00)
	Benefactor ($100.00)
	Super Supporter ($250)

Number of Memberships, Paid monthly

	Individual ($24.00, $2/mo)
	Supporter ($60, $5/mo)
	Benefactor ($120.00, $10/mo)
	Super Supporter ($276, $23/mo)

Please select membership level. *

	One time	per month
Individual $20	One time	per month
Supporter $50	One time	per month

Description Text

using this matrix is nice, but the dollar amounts will not be tallied in the calculate area.

Current Total:

$0.00

Contributions

Ticket sales cover only a portion of ever-increasing contract fees and production costs. That’s why your tax-deductible contributions are so very important!

Select Your Contribution Level

All contributors are listed in each event program.

How would you like your name(s) listed in the program?

Current Total:

$0.00

If you have questions or comments, you can leave us a note below.

Payment

Check number

To pay by check, please submit this form online, then include on or with your check, your name as it appears on the order form. Once you submit this form online, you do not need to print and mail this form with your check. Mail check to Arts Opelika, 1103 Glenn Street, Opelika, AL 36801.

Look for a Thank You Email soon that will include your Membership Discount code for ordering tickets with 10% or 15% off, and how to redeem your free tickets.

Credit Card Type

Name on Card

Credit Card Number

Expiration Date

CID Code:

+-

THANK YOU

For Office Use Only

Choice A

Choice B