<p>TROY ARTS COUNCIL MEMBERSHIP FORM</p><p>Please list your name or business name as you want it to appear in the program</p><p>Name ______</p><p>Address ______</p><p>City ______State ______Zip ______</p><p>Telephone ______Email ______</p><p>Business Affiliation ______</p><p>Listing for: ( ) Name ( ) Business</p><p>MEMBERSHIP CATEGORIES</p><p>( ) Corporate Sponsor ……………………………………………………… $ 1,500 or more (listed as sponsor for one of the Troy Arts Council’s Events)</p><p>( ) Grand Benefactor …………………………………………………………. $ 450 (6 Season Tickets)</p><p>( ) Benefactor ………………………………………………………………….… $ 275 (4 Season Tickets)</p><p>( ) Grand Patron ……………………………………………………………….. $ 200 (3 Season Tickets)</p><p>( ) Patron ……………………………………………………………………….…. $ 150 (2 Season Tickets)</p><p>( ) Supporter ……………………………………………………………….……. $ 100 (1 Season Ticket)</p><p>DONATIONS</p><p>( ) Clubs (For organizations only, no tickets) …………………….. $ ______</p><p>( ) Loyalty Club (no tickets, tax deduction) ……………………….. $ ______</p><p>( ) In Honor of: ______$ ______</p><p>( ) In Memory of: ______$ ______</p><p>Total Amount enclosed ……………………………………………………… $</p><p>Please make checks payable to: Troy Arts Council</p><p>Please Mail to: Troy Arts Council, P.O. Box 606, Troy, AL 36081</p><p>Individual Event Ticket Pricing</p><p>In advance and on-line for all events: Adults - $ 20 Students - $ 5</p><p>Day of show at door for all events: Adults - $ 25 Students - $ 5</p><p>TROY ARTS COUNCIL IS A NON-PROFIT 501C3 ORGANIZATION FOR THE PERFORMING ARTS</p>