The Little Theatre
the Little Theatre of New Smyrna Beach, Inc.

 
   

 

 


Please print this page and indicate the amount you would like to contribute to the Little Theatre. Write your name and address in the designated space and enclose your personal check or your credit card information with this page in an envelope and:


If this is an anonymous donation or you would like someone other than yourself to be named in our play programs and our Theatre Lobby listing, please note that here.

Anonymous
Other
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Contributors are listed in the Little Theatre lobby and programs. Contributions to the Theatre are tax deductible for income tax purposes as permitted by law.

Silver Angel - $500+

Angel - $250

Benefactor - $150

Patron - $75

Sponsor - $25

Name __________________________________________________________

Address ________________________________________________________

City ___________________________________________________________

State ________ Zip ______________

Please make your check payable Little Theatre of New Smyrna Beach or
Please charge Visa Mastercard for amount indicated.

_________________ one time 1 year (monthly) other
Amount

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if other, please explain

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Name as it appears on card

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Card Number - Visa or MasterCard

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Expiration Date

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Signature