Text Box: Home Page, Upcoming Events, Membership, Contact Us, Sponsors, Past Performances, History Text Box: GREENWOOD LITTLE THEATRE MEMBERSHIP FORM 2009-2010 SEASON (SEPTEMBER 2009 THROUGH AUGUST 2010) NAME: ____________________________________________________________________ (PLEASE PRINT INFO) MAILING ADDRESS: ________________________________________________________ __________________________________________________________________________ TELEPHONE: WORK ________________________ HOME _________________________ CELL: _____________ E-MAIL: ______________________________________________ LEVEL OF MEMBERSHIP: (PLEASE CHECK ONE) ____ GOLD SPONSOR (24 SEASON TICKETS) $1000 ____ SILVER SPONSOR (12 SEASON TICKETS) $500 ____ SAINT (8 SEASON TICKETS) $350 ____ ANGEL (4 SEASON TICKETS) $150 ____ PATRON (1 SEASON TICKET) $40 ____ REGULAR (1 SEASON TICKET) $30 ____ STUDENT (1 SEASON TICKET) $15 PLEASE SEND THE COMPLETED FORM AND YOUR TAX DEDUCTIBLE CHECK TO: GREENWOOD LITTLE THEATRE, P. O. BOX 246, GREENWOOD, MS 38935-0246  PLEASE DO NOT COMPLETE BELOW THIS LINE-FOR ADMINISTRATIVE PURPOSE ONLY: CIRCLE ONE: CASH CHECK OTHER ____ MEMBERSHIP CARD MADE ____NAME ADDED TO LABELS ____ MEMBERSHIP CARD GIVEN TO MEMBER ___ NAME ADDED TO MASTER LIST ____ NEW MEMBER _____ RENEWAL OF MEMBERSHIP ____ HOW MEMBERSHIP RECEIVED _____BY MAIL _____AT PRODUCTION OF_________ ____ BOARD MEMBER WHO CONTACTED NEW MEMBER ___________________________ FORM UPDATED 04-17-06