THE NATIONAL THEATRE CIRCLE - APPLICATION FOR MEMBERSHIP

Date:_______________________________________________________________

Name:______________________________________________________________

Organization (if applicable):______________________________________________

Listing as you wish it to appear in the National Theatre Playbill:

___________________________________________________________________

Address:____________________________________________________________

City, State, Zip:________________________________________________________

Phone:______________________________________________________________

E-Mail:______________________________________________________________

The National Theatre Corporation is a 501.c.3. not-for-profit organization. Your contribution is a tax-deductible charitable contribution within the limits of current tax law.

I wish to contribute $ ______________ (minimum $1,500)

You can pay by PayPal, and then send this application by PDF or postal mail to complete your application.

Click on the PayPal button.  It will take a moment for the account to open on your screen.
You may also send a check with this application .

Please Check one of the following:

___ I want to take advantage of membership premium benefits. I understand that $600 of my contribution will not be deductible for income tax purposes.

___ I want to WAIVE membership premium benefits. I understand that this will make my contribution 100% deductible.*

Signed______________________________________________

Each Circle Member may purchase up to six prime location orchestra tickets for each attraction through our Ticket HOTLINE, subject to availability at the time the Member reserves.

*Annual Membership Premiums include TWO Best-Location Orchestra Seats for a production of your choice, subject to availability and SIX Bar Certificates to entertain yourself and your guests with free beverages or snacks at any of our three in-house bars, also valid at the performance of your choice.  Also included are Four Complimentary Tickets in the National Theatre Executive Star Box for a show of your choice, subject to availability.

If you have questions about the Circle, please email jloomis@nationaltheatre.org, or call 202-783-6854 for more information.

Checks should be made out and mailed with your completed and signed form to:

NATIONAL THEATRE CIRCLE
1321 Pennsylvania Ave, NW
Washington , D.C. 20004

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