Please print this form using the
"Print" function on your web browser and mail to the address
listed below.
Simply close this window to return to the Claremont Opera House
web site.
| Level | Contribution | Benefits |
| Contributor | $25 | 5% Discount |
| Patron | $50 | 10% Discount |
| Benefactor | $100 | 15% Discount |
| Star | $250 | 20% Discount |
| Angel | $500 | 25% Discount |
| Other Donation |
$ |
Discounts apply when you purchase tickets to four or more shows from our Season's Brochure, published at the start of our season.
| Name(s) | ||||
|
(As you want it (them) in program) |
||||
| Check if you wish to remain anonymous | ||||
| Check enclosed payable to Claremont Opera House | ||||
| Charge my contribution to: | VISA MASTERCARD | |||
|
Card # |
Exp. | |||
| Signature | ||||
| Your Address | ||||
| City | State | Zip | ||
| Phone | ||||
Please mail this form with your contribution to:
Claremont Opera House, PO Box 664, Claremont, NH 03743
Thank you for being a Friend.
|
Date Received |
Date Acknowledged |