Please print out, fill out and mail to: Northport-East Northport Community Theater

Click here to return to Current Production***See Address on Bottom of Form*** Click here to return to Sponsor

                   DEADLINE: October 27, 2008

"STATE FAIR"

November 14, 15, 16, 21, 22, & 23, 2008

BE A DONOR / SPONSOR

Contributing Donor……………………… $ 250.00

Receive acknowledgement of support in the program

Sustaining Donor………………………… $ 500.00

Receive acknowledgement of support in the program

Full Sponsor……………………………… $ 1,000.00

Receive acknowledgement of support in the program

Name (Individual or Organization) _______________________

Address ______________________________________________

Phone ___________________ Authorized Signature __________

Credit Card: Visa ______ Master _______

Number: ________________________________Exp. Date _____

Check payable to Northport - E. Northport Community Theater

Northport Community Theater, P. O. Box 572,

Northport, New York 11768

 

Call (631) 896-5970 for additional information

Thank you for your support!

www.northportcommunitytheater.org