DOMINO THEATRE MEMBERSHIP INFORMATION
                         SINGLE $10.00  -  FAMILY $15.00

                                Why become a member?
                             - priority ticket orders
- Newsletters outlining coming productions, audition notices, gossip, board news
- Invitations to all opening night parties   - Develop and use talents backstage
    - Discount ticket price Thursdays (any available seats - no reservations)

             Membership From - September 1, 2017 to August 31, 2018

    Yes! I'd like to be a member.        Name:_____________________________________

# single memberships ___ x $10 = _____   Address:__________________________________

# couple memberships ___ x $15 = _____   __________________________________________

                      Donation = _____   City:_____________________________________

                TOTAL ENCLOSED = _____   Postal Code: __________ Phone: ___________


__ Check to receive newsletter by e-mail E-Mail ___________________________________


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	MOP: cash/chq/other	amnt: _________	mbrshp card #: ____________