Name(S) Please List Individually Mailing Address

2013-14 Season

Subscription Form

Name(s) Please list individually Mailing Address

______

______City ______State______

Email ______Zip ______Phone ______

Subscription Tickets (All Seats Center Orchestra and Reserved Before Sale to Public)

______#Subscriptions #Adult($70)______#Senior, 60+($65)_____ #Child, 18-($65)______#Military w/ID($65) _____

Total $______(Checks payable to NBT, Visa/MC accepted)

Gift Contributions (All contributions are Tax-Deductible and an investment in the community)

Four categories of giving are available in addition to Associate $25 - $49 $ ______the above subscription ticket purchase.

Friend $50 - $99 $ ______All Gift Contributors will be listed in the program at the levels to the right. Contributions are tax deductible. Donor $100 - $299 $ ______Please consider a Gift Contribution to help keep NBT’s Season growing in Northwest Washington. Patron $300 & above $ ______

Please list my name in the program as ______Please don’t list _____(check)

Season Sponsor Initiative Thank you for supporting NBT!

This category specifies a single Corporation, Foundation Northwest Ballet Theater or Individual/Family to represent NBT’s complete season. 1417 Cornwall Ave. Ste. 201 Contribution level is to be negotiated and agreed upon by Bellingham, WA 98225 the Contributor(s) and the NBT Board of Trustees. A (360) 714-1246 Season Sponsor will qualify to be included in all programs [email protected] and all marketing materials supporting it’s season of www.northwestballet.org productions. Sample: (Northwest Ballet Theater & Name of Contributor present The Nutcracker). To inquire NBT is a 501(c)(3) non-profit arts about becoming a Season Sponsor contact Dan Jordan, organization incorporated in the state NBT Treasurer/CPA at 415-381-3344, [email protected] Washington. Fed Id # 27-2921048