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Name(s):
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Address:
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Phone:
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Email Address:
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Membership
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Rate
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Total
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Membership - one adult
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$12.00
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Membership - two+ adults, same household
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$20.00
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Season Ticket – All ages
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$39.00
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Friends - donation of any amount
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up to $49
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Patron (with one season ticket)
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$50 - $74
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Benefactor (with one season ticket)
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$75 - $99
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Angel (with two season tickets)
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$100 or more
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Total Enclosed:
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$
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Cheshire Community Theater
P.O. Box 149
Cheshire, CT 06410
Thank you for your support!