Annual Membership Categories for 2012-13:
Free tickets are available per season

(Circle one membership level below)

• Angel $1,000: Choose 14 tix per season, lunch w/ department chair and student actors; annual backstage tour • Benefactor $600: Choose 12 tix per season, annual backstage tour • Sponsor $300: Choose 10 tix per season, annual backstage tour • Backer $150: Choose 8 tix per season • Family $75: Choose 6 tix per season • Individual $50: Choose 4 tix per season • Senior* $40: Choose 4 tix per season**

* Seniors are age 65 and older; the same guidelines as SIUE box office **Note the change in senior rate and the number of tix offered

PLEASE MAKE CHECK PAYABLE TO: SIUE FOUNDATION
NOTE: FOTAD

Membership dues cover July 1, 2012, to June 30, 2013

Call Greg Conroy,
(618) 650-3607, or, toll-free, (888) 328-5168, Ext. 3607,
if you have questions.

 

Employee Matching Gifts Your gift could double if your company has a matching gifts program. Please ask your personnel office for the apporpriate forms and guidelines. Thanks!

 

When you decide what show(s) you’d like to see,
call the SIUE Fine Arts box office, (618) 650-2774,
and make the reservation
(for example, if you have four tickets available,
you could use two tix for one show and save two for another)

 

AND

Make our accountants happy and
fill out the information below

Name and Address

Name: _________________________________________________ Street Address: __________________________________________ City, State, ZIPcode: ______________________________________ Telephone No.: _________________________________

 

Important Tax Information

IRS code dictates that if you wish your membership fee to be fully tax-deductible, you cannot accept free tickets.
Should you wish to receive free tickets,
you cannot claim your total fee as tax deductible.

Please circle the appropriate choice:

• I wish to receive free tickets, and understand
my membership fee is tax-deductible only insofar as it
exceeds the fair-market value of the tickets for which I am eligible.

 

• I wish my membership fee to be fully tax-deductible,
and understand that I cannot receive free tickets.

Signature _____________________________________________

 

2012-13 SIUE Mainstage Season

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