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Friends of the Tennessee Theatre
Enrollment Form
Name
*
First Name
Last Name
Spouse or Partner's Name
First Name
Last Name
Email
*
Verify Email
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Phone
*
Organization/Employer
Matching Gift
Does your employer offer a matching gift program?
Birthday
*
Month and day
Membership Level
*
Please select the level of membership you wish to join. If you would like to pay your membership fee in installments, please make sure your donation amount reflects the amount of each installment. Your full gift must be received within one calendar year.
select one
Bronze (up to $499)
Silver ($500-999)
Gold ($1000-4999)
Platinum ($5000-9999)
Diamond ($10,000+)
Membership Donation Amount
*
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Membership Acknowledgement
If you do not wish for your name to be listed on our website as a Friend of the Tennessee, please let us know.
Do not list my name
Membership Acknowledgement Name
*
Please list how you would like your gift recognized. Examples: John and Jane Smith, Mr. and Mrs. John Smith, Jane and John Smith.
Silver Member Benefit
*
Please select one of the below Silver benefits. By selecting neither, your entire contribution will be used to help fulfill our mission.
Custom Poster by Status Serigraph
Notecard set by Cami Monet
None
Gold Member Benefit One
*
Please select one of the below Gold benefits. By selecting neither, your entire contribution will be used to help fulfill our mission.
Custom Poster by Status Serigraph
Notecard set by Cami Monet
None
Gold Member Benefit Two
*
Please select one of the below Gold benefits. By selecting neither, your entire contribution will be used to help fulfill our mission.
Twelve Summer Movie Magic Passes
Six Concession Vouchers
None
Platinum Member Benefit One
*
Please select one of the below Platinum benefits. By selecting neither, your entire contribution will be used to help fulfill our mission.
Custom Poster by Status Serigraph
Notecard set by Cami Monet
None
Platinum Member Benefit Two
*
Please select one of the below Platinum benefits. By selecting neither, your entire contribution will be used to help fulfill our mission.
Twenty-four Summer Movie Magic Passes
Ten Concession vouchers
None
Platinum Member Benefit Three
*
Please select one of the below Platinum benefits. By selecting neither, your entire contribution will be used to help fulfill our mission.
Four Tennessee Theatre Coffee Table Books
Two tickets for event (some events excluded)
None
Diamond Member Benefit One
*
Please select one of the below Diamond benefits. By selecting neither, your entire contribution will be used to help fulfill our mission.
Custom Poster by Status Serigraph
Notecard set by Cami Monet
None
Diamond Member Benefit Two
*
Please select one of the below Diamond benefits. By selecting neither, your entire contribution will be used to help fulfill our mission.
Thirty-six Summer Movie Magic Passes
Sixteen Concession Vouchers
None
Diamond Member Benefit Three
*
Please select one of the below Diamond benefits. By selecting neither, your entire contribution will be used to help fulfill our mission.
Eight Tennessee Theatre Coffee Table Books
Four tickets to event (some events excluded)
None
Diamond Member Benefit Four
*
Please select one of the below Diamond benefits. By selecting neither, your entire contribution will be used to help fulfill our mission.
Complimentary Silver membership for a friend
None
How did you hear about Friends of the Tennessee Theatre?
Website
Social Media
Newsletter
Stage Announcement
Print Ad
Radio Ad
TV Ad
Friend/Colleague
Mailed Letter
Other
Since you selected other, please let us know how you heard about Friends of the Tennessee.
Maximize my donation's impact: I want to cover the 3% processing fee to ensure more of my contribution directly supports the impactful work of the Historic Tennessee Theatre Foundation.