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 $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.

 

___________________________________________

___________________________________________

___________________________________________

___________________________________________

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_____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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