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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
Set construction
Design/Painting
Costumes
Hair Makeup
Business Musical
Instrument
Other, or comments: ____________________________________________________________________________________
____________________________________________________________________________________
Please mail with your check or money order to:
Seneca Community Players
Attn: Membership
P.O. Box 45
Seneca Falls, NY 13148