Name:_____________________________________________________________________

Address:___________________________________________________________________

            ___________________________________________________________________

Telephone:_________________________________________________________________

E-Mail:____________________________________________________________________

Type of Membership:____________________                         Price$_________________

Season Ticket(s):     Quantity____________                            Price$_________________

Anytime Pass(es):    Quantity____________                            Price$_________________

Total Amount enclosed                                                                 $_________________
                                         Print this form and mail to:

                                  CLOVER COMMUNITY THEATRE
                                                  P.O. Box 168
                                             Clover, SC   29710

                                            
Membership Levels:
                                       Individual                    $15.00 donation
                                       Family                        $25.00 donation
                                       Patron                        $50.00 donation
                                       Donor                        $75.00 donation   
                                       Sponsor                    $100.00 donation  (receive 1 season ticket)**
                                       Benefactor                $125.00+ donation (receive 2 season tickets)**

                                       Season Ticket**        $20.00   1 admission to each of the 4 plays
                                       Anytime Pass **        $40.00   6 admissions which can be used
                                                                                     anytime. Use all for one play or
                                                                                     any combination of plays.
                                                   **Dinner theatre tickets not included

                                 
Make A Gift! Make A Difference!
                                       
Thank you for supporting CCT!
Clover Community Theatre
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