PledgeCard

Temple Theatre
2010/2011 Pledge Form
Pledges of $100 or more made before 8/1/2009 will be listed in the 2009-2010 season program

Leave A Legacy + (20 Comps)

[  ] $10,000

Be A Legend + (10 comps)

[  ] $5,000

Be A Superstar

[  ] $1,000

Be A Star

[  ] $500

Be A Rising Star

[  ] $250

Be A Player

[  ] $100

[  ] Other _________________

Temple Theatre is a 501(c)(3) nonprofit organization.  All donation are 100% tax-deductible

Name

_____________________________________

Company

______________________________________

Address

_____________________________________

City

___________________________________

State

_____________________________________

Phone

____________________________________

E-mail

____________________________________

Payment Options

[  ] Check (payable to Temple Theatre)

[  ] Credit Card
     Visa / AmEx / Disc / MC

Card Number__________________________  Exp. Date _____________

[  ] Please Bill

[  ] One Payment on ___________

[  ] Two Payments on ______________ & ________________

[  ] Other ______________________________________

Temple Theatre
P.O. Box 1391
Sanford, NC 27331
Phone: 919-774-4512