(Please print this form, fill it out, and mail it with your check to the address given below.)

Name: _____________________________________

Street:_____________________________________

Town: _____________________________________

Phone (Home): _______________ (Work): __________________________

Email Address (Please print CLEARLY): ____________________________

Visit NCT on the Web: http://www.needhamonline.com/communitytheatre/home.html

Membership:
--- Single, $25.00, including 1 ticket per show
--- Family, $40.00, including 2 tickets per show

I would also like to make a tax-deductible donation of $ ______.

Please circle at least one area in which you might like to participate:

Produce	Usher	Program	Sets	Costumes	Tech Crew
Props	Lights	Publicity	Subscribers	Play Reading	Membership
July 4th Float	Newsletter	Box Office	Program Ads	Sidewalk Sale	Sound

Business Information (optional):

Name of Company: _____________________________________

Do you think your company might be interested in:

--- Matching Funds (NCT Non-Profit Donations)
--- Group Rates on Ticket Sales
--- Advertising in Program
--- Corporate Sponsorship of a Show

Company Contact & Phone Number: _____________________________________

Please make check payable to: Needham Community Theatre, Inc.

Mail check and form to:

Needham Community Theatre, Inc.
P.O. Box 920242
Needham, MA 02492
Attn: Membership

For additional information, call (781) 444-4740.
Return to Needham Community Theatre Home Page.