2010-11 SUBSCRIBE & SUPPORT

Name: _________________________________________

Address: _______________________________________

City: __________________________________________

State: ______ Zip: ________ County: _______________

Phone: _________________________________________

Email: _________________________________________

Please provide names for all ticket holders and indicate

if they are adults, seniors, or students:

________________________________________________

________________________________________________

________________________________________________

Season Subscription Prices

All season tickets are reduced until August 1

___ Adult Season Ticket @ $85 ($90 after 8/1/10)

___ Senior Season Ticket @ $65 (65 & up) ($75 after 8/1/10)

___ Student Season Ticket @ $20 ($25 after 8/1/10)

Additional fee: _____ Bus Trip(s) to the Nutcracker @ $60

Additional Giving Options

$35 Friend $60 Dual Friends (couple)

$250* Musician’s Circle

$500* Actor’s Circle $1000* Artist’s Circle

$2,500* Director’s Circle

 I would like to donate $_______ towards the C. Herbert Brown, Jr. Performing Arts Scholarship fund

 I wish to decline any benefits associated with my gift and prefer that it be fully tax deductible.

 I would like to make a gift in honor-memory of: (name) ______________________________

$______ Honor of $______ Memory of

Total Amount Enclosed: $ ___________ Make checks payable to: Arts Alive

Credit Type: MasterCard Visa Expires: ____/____

Card #: _________________________________________________

Signature: ______________________________________________

Mail completed form to: Arts Alive, Inc., P.O. Box 152, West Point, VA 23181