NCBRC Theatre Guild Contributing Membership Form

Please complete the form below and click on "Submit" to begin your membership.

To submit this form, all "*" fields must be filled in.

 

$
Youth ($25)
Friend ($50)
Contributor ($100)
Donor ($250)
Patron ($500)
Salutation
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Acknowledgement
For all donations, please list your name(s) as you would like it to appear in our program listings (separated by commas)
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Dedication Information (Optional)
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Personal note to be included with donation
Dedication Acknowledgment Information
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Other Ways to Give


Give by Phone:

(336) 723-2266


Give by Mail:

North Carolina Black Repertory Co.

610 Coliseum Drive, W-S, NC 27106