Name
_________________________________ Address
_________________________________ City______________________________
State _________________
Zip _________________ Phone
________________
E-mail
________________________________________
| |
I want to join as a:
___ CBT Loyalty Fund for Alumni Giving
___ Friend of CBT - less than $500
___ Pearl - $500 to $999
___ Emerald - $1,000 to $2,499
___ Bronze Nutcracker - $2,500 to $4,999
___ Silver Nutcracker - $5,000 to $7,499
___ Gold Nutcracker - $7,500 to $9,999
___ Platinum Nutcracker - $10,000 or more
Enclosed is my tax-deductible contribution of $ ___________
Please make donations payable to Children's Ballet Theatre.
| Mail to: |
Children's Ballet Theatre
P.O. Box 22232
Lansing, MI 48909 |
| |
