Shuswap TheatreMembership Form for Organizations

Name of Organization *

Name of Contact Person *

First

Last

Contact Email *

Phone Number *

Address of Organization *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Membership Fee *

Price: $25.00

Would you care to add a donation?

Leave blank to decline (no shame).

Any additional information

Would you like to receive our e-newsletter, The Prompter

Unsubscribe easily at any time.

Total *

Item Quantity Qty Total

There are no products selected.

Membership Fee 1 $25.00

Would you care to add a donation? - $10 1 $10.00

Would you care to add a donation? - $25 1 $25.00

Would you care to add a donation? - $75 1 $75.00

Would you care to add a donation? - $100 1 $100.00

Would you care to add a donation? - Cancel - $0 1 $0.00

Total $25.00

Method of Payment *

Credit card payment is simplest for us to administer.

Total Organization Name

Credit Card *

Card

Name on Card

Please send your e-transfer now to:

Be sure to put your organization name in the memo box and indicate that it is for membership. If a donation is included, note the amount.

Please note that Organization Memberships are non-voting.

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