Membership Form

Please print your name as you wish it to appear in our playbill. Donations received after February 1 will receive benefits the following season.

Company:
Contact Name:
Address:
City:
State:
Zip:
Phone (W):
(H):
e-mail:
website:
Level of Contribution
Platinum	$10,000 *
Inner Circle	$5000 *
Exec Producer	$3500 *
Producer	$2000 *
Stage Manager	$1000 *
Star	$750 *
golden_footlights	$500 *
Footlights	$350 *
Angel	$250
Patron	$150
Sponsor	$100
Friend	$50
* qualify for corporate benefits
Payment
Check, amount enclosed $ (check payable to: Home Made Theater)
Would you like your website linked from HMT's Corporate Member page? Yes No

PO Box 1182 Saratoga Springs, NY 12866 (518) 587-4427 info@homemadetheater.org

Level of Contribution