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SCP ANNUAL MEMBERSHIP REQUEST FORM Circle a title: Mr. Mrs. Miss Ms. Other_________________________________________ ___ __________________________ First Name(s) M.I. Last Name ______________________________________________________ _________ Address (Apt.) ___________________________________ ________ ______________ City State Zip Code ___________________ ___________________ Phone Email Address
Circle a membership category: Student, $10.00 Friend, $15.00-$49.00 Star, $50.00-$99.00 Patron, $100.00-$299.00 Benefactor $300.00-$499.00 Angel, $500.00 + Would you volunteer to work with SCP? If so, please let us know what you would like to do. Circle an area below, or write us a note in the space provided. Any other suggestions? Use this space to tell us. Thanks! Circle as many as you like:
Acting
Directing Musical
Directing Stage
crew Lighting Sound Other, or comments: ____________________________________________________________________________________ ____________________________________________________________________________________ Please mail with your check or money order to: Seneca Community Players |