Donation Form
PRINT OUT THIS FORM AND FILL IT OUT, THEN MAIL IN WITH A CHECK
WE NEED YOU HELP!!
IBERIA PERFORMING ARTS LEAGUE MEMBERSHIP FORM
IPAL needs memberss to help assure its financial stability. Donation is good for membership now through July 14th 2013 - All members receive a periodic newsletter , mention in the program, and on the large posters in the lobby. Membership does not include season tickets
____Friend -- Donation of $25 to $39
____Bronze -- Donation of $40 to $99
____Silver --Donation of $100 to $249
____Gold - Donation of $250 to $499
____Supporting Cast - Donation of $500 to $999
____ Stars - $1000 to $4999
____Partner in the Arts - $5000+
Name:___________________________________ Phone:__________________
Mailing Address:______________________________________
City:______________________________ State:___________________Zip:_____
Name as you wish it to appear in program
(Please Print): __________________________________________________
e-mail address:__________________________________________________
(Print clearly -- we never share our address with any other group)
Would you prefer your newsletter via e-mail? YES____ NO_____
Please make checks payable to:
Iberia Performing Arts League or IPAL
Mail checks to:
Iberia Performing Arts League ~ IPAL
PO BOX 14105
New Iberia, LA 70562
