FCT 2008-2009 Membership Form
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Memberships extend from June 1, 2008 to May 31, 2009

Name _______________________________________________________________________________
 (as you would like it to appear on Playbill and Website)

Address _____________________________________________________________________________

City _________________________________________ State ___________ Zip __________________

Phone (w) ______________________ (h) _______________________ (c) _______________________

E-Mail _______________________________________________

 q Check here if you prefer to receive "The Spotlight" newsletter via email only.

Membership Categories
 (Please check one)

Your Interests
 (Check all that apply)
q Junior (age 12 to 18: $15) -- no comp tickets
q Individual ($25 - $39) -- 1 comp ticket
q Friend ($40 - $54) -- 2 comp tickets
q Family ($55 - $99) -- 2 comp tickets
q Patron ($100 - $249) -- 2 comp tickets
q Angel ($250 - 499) -- 2 comp tickets
q Director's Circle ($500 - $999) - 4 comp tickets
 q Producer's Circle ($1,000+)  - 4 comp tickets
 Producer's Circle also receive two season subscriptions in addition to the comp tickets.		 q Acting
 q Directing
 q Producing
 q Choreographing
 q Musical Direction
 q Orchestra
 q Costumes
 q Props		 q Set Design/                Construction
 q Lighting/Sound
 q Box Office
 q Concessions
 q Publicity
 q Fund Raising
 q Work Crew

All Memberships Include:

Please send this form along with your Membership Fee to:

Fauquier Community Theatre
P.O. Box 3046
Warrenton, VA 20188
Or fax to (540) 364-6145

NOTE: FCT is a non-profit, 501(c)3 organization. Twenty-five dollars of your Membership Fee represents the fair market value of receiving newsletters and notices of special events and auditions by first class mail. Only donations beyond that amount constitute contributions to FCT for Federal Income Tax Purposes.