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 $50 donation for the 2009/2010 theater fund—Please send me my complementary tickets. OR
_____Please consider this a donation for the 2009/2010 theater fund—I do not wish to receive tickets.
___________________________________________
__________________________________________
_____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_______________________________________
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