Donation Form
PRINT OUT THIS FORM AND FILL IT OUT, THEN MAIL IN WITH A CHECK
IBERIA PERFORMING ARTS LEAGUE MEMBERSHIP FORM
Donation is good for membership now through July 14th 2010 - All memberships above $7 include the newsletter and for $25 or more mention in the regular season programs.
It does not include season tickets
____Friend -- Suggested donation $25 and up
____Bronze -- $40and up -- Suggested for a family
____Silver --$100and up -- for those who wish to see us grow
____Supporting Cast --$250and up -- "Leave your footprint on the arts" (name on footprint in building)
____Stars --$1,000and up -- Open the doors for theater now and in the future (star with name in building)
Name:___________________________________ Phone:__________________
Street:______________________________________
City:______________________________________ State:___________________Zip:_____________
Name as you wish it to appear on program/footprint etc.
(Please Print): ________________________________
e-mail address:_______________________________________
Month Joined:________ Amount:_______Cash: ____ Check #: ___
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
| PRINT OUT THIS FORM AND FILL IT OUT, THEN MAIL IN WITH A CHECK | ||||||||||||||||||||||||
