EmailMe Form - Delta Center Stage Membership Form

First and Last Name *

Email *

Spouses First and Last Name (if applicable)

Title (if applicable)

Business or Organization Name (if applicable)

Formal Name for Program Listing (Patron and Above)

Phone Number *

Is this a cell or landline number? *

Cell

Landline

Address *

Street Address City State / Province / Region Postal / Zip Code

SPONSOR LEVELS

$2000 | SEASON SPONSOR:

15 passes to all shows and fundraisers. Free concessions; color logo listing and acknowledgement in program.

Season Sponsor. Enter amount below.

$ Dollars

$1200 | BENEFACTOR:

10 passes to all shows. Free concessions and Benefactor listing in programs.

Benefactor Sponsor. Enter amount below.

$ Dollars

$900 | PLATINUM PATRON:

8 passes to all shows. Free concessions and Platinum Patron listing in program.

Platinum Patron. Enter amount below.

$ Dollars

$600 | GOLD PATRON:

6 passes to all shows. Free concessions and Gold Patron listing in program.

Gold Patron. Enter amount below.

$ Dollars

$325 | SILVER PATRON:

4 passes to all shows. Free concessions and Silver Patron listing in program.

Silver Patron. Enter amount below.

$ Dollars

$200 | PATRON:

2 passes to all shows. Patron listing in program.

Patron. Enter amount below.

$ Dollars

$225 | Family Package:

2 passes to all shows. Up to 4 dependent children may attend with parent.

Family Package. Enter amount below.

$ Dollars

$90 | Basic Membership:

1 pass to all shows.

Basic Membership. Enter amount below.

$ Dollars

$75 | Senior Citizen (over 60):

1 pass to all shows.

Senior Membership. Enter amount below.

$ Dollars

Once you hit "SUBMIT" you will be redirected to PayPal. You DO NOT need a PayPal account to make your donation. Simply click "Pay with Debit or Credit Card" and you will be taken to the Payment Gateway. Thank you!