Name:__________________________________________________
Address:________________________________________________
Interest:________________________________________________
Phone No.:____________________________ E-mail:___________________
Comments:_______________________________________________________
___________________________________________________________________
___________________________________________________________________
Membership Levels
| Membership $10-24: | _____ |
| Patron $25-49: | _____ |
| Sponsor $50-99: | _____ |
| Angel $100-249: | _____ |
| Business $250+: | _____ |
Please print & mail to Corinth Theater Guild, Box 355, Corinth, NY 12822.
Thank You