Please print this form and mail with your donation

___________________________

Send To

 

Attention:

On Campus: 

COS Foundation Office
800 College Ave.
Weed, CA. 96094

COS Theatre Member's Fund

Bring your donation and this form to Dawnie Slabaugh in the Public  Relations Office or in the PIO box in the mailroom

 

 

 

:

Name:


Address:
 
City:

State,Zip:

Email/Phone:

Check one of the following:

Please consider this $______________a donation for the 2009/2010 theater fund

 

___________________________________________

___________________________________________

___________________________________________

___________________________________________

__________________________________________

 

_____I have enclosed a check made out to “COS Theatre Member’s Fund.”

or

_____ Please charge my credit card:                 Visa          MC        Discover

Card Number______________________________________________________________

 

Expires________________         Signature_______________________________________


Please check if you would like to be on our e-mail list for show date reminders

 

(The Theatre Department is very grateful for your donation!!!!!)



 

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