Outpost Membership Form

Print this page, fill it out, and send it in!

I WANT TO BECOME A MEMBER OF OUTPOST PRODUCTIONS, INC.(a 501(c)3 Non-Profit Corporation)

__ $25	Artist/Senior (1 Discount to all Outpost Events)

__ $45	General (1 Discount to all Outpost Events)

__ $75	Supporting (2 Discounts to all Outpost Events)

__ $125	Sustaining (3 Discounts to all Outpost Events)

__ $300	Patron (1 Free Pass plus 1 Discount to qualifying events. 3 Discounts to events where pass not valid)

__ $575	Benefactor (2 Free Passes plus 2 Discounts to qualifying events. 4 Discounts to events where pass not valid)

	All Members' children under 12 receive 1/2 price admission

	All Students receive member discount with valid student ID.

__ I want to make an additional contribution to support Outpost programs  $_____________

I WOULD LOVE MORE INFORMATION ABOUT:

__ Outpost Productions' CORPORATE SPONSORSHIP & ADVERTISING opportunities for businesses

__ I'm interested in learning more about becoming an OUTPOST VOLUNTEER

Name: _____________________________________________________________________

Address:____________________________________________________________________

City______________________________________    State_______    Zip______________

Email: _________________________________	Phone #: ________________________

Date:__________________________________

Amount Enclosed: $______________________

Please make checks payable to Outpost Productions, Inc. – a 501 (c) 3 Non-profit Corporation