Supporting Member Sign-up Form
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Please print the following form and fax or mail to Centenary Performing Arts Guild.
Name: ____________________________ Today's Date: _____________
In addition to the satisfaction of knowing that you are an integral part of bringing first-class performing arts events to the community, membership will offer you many special advantages, including:
A. Advance notice of selected CPAG presentations
B. Recognition in the CPAG program guide
C. Special Invitation to Opening Night parties with Director and
cast of CSC productions
D. Invitation to special pre-show chats with visiting guest artists
E. Window Decal announcing your support of the arts in NW New Jersey
F. Discounts at regional merchants
G. Automatic entry into our 2000 raffle for a free dinner at a regional
restaurant!
H. Your name engraved on a permanent brass plate on a theatre
seat of your choice
I. Invitation to New Jersey's special gala, The Applause Awards
Ceremony, a state-wide celebration of the arts
J. Your name permanently engraved on a sponsor recognition plaque
in the CPAG lobby
Select Your Membership Level Choice:
____ ____ ____ ____ ____ ____ |
Membership Level (Benefits Included) $45 Contributing Member (A, B, C) $60 Friend (A, B, C, D, E) $100 Associate (A, B, C, D, E, F, G) $250 Sponsor (A, B, C, D, E, F, G, H) $500 Producer (A, B, C, D, E, F, G, H, I) $1000 Angel (A, B, C, D, E, F, G, H, I, J) |
About You:
| Name: ____________________________________________________ Email Address: _____________________________________________ Address: __________________________________________________ City: ________________________________ State: ___ Zip: ______ Daytime Phone Number: ____________________________ |
Payment Method:
| Type of Payment: Check:
____ Mastercard: ____ Visa:
____ Card Number: ______________________ Expires: Month: ____ Yr: ____ Name on card (if diff): ________________________________________ Signature: __________________________________________________ Make Checks payable to: Centenary Performing Arts Guild or CPAG Mail to: 400 Jefferson Street, Hackettstown, NJ 07840 Fax to: 908 979-4297 Call with questions: Box Office at 908 979-0900 |
Contact me about:
Being part of the "Discounts at regional merchants"
(benefit "F"):
Yes: ____ No: ____
Thank You!
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