Please print this page and fill out, then mail with check to:
Moapa Valley Arts Council
P. O. Box 1617
Overton, NV 89040

Moapa Valley Arts Council Membership Application
September 1, 2008 - August 31, 2009
Membership Form

Name_________________________________
(please give your name as you wish it to appear on the program)

Address _______________________________________________________

_______________________________________________________________

E-mail Address___________________________________________________

When you become a member you will receive a season ticket/s. 
Please check your selection and fill in quantity of membership requested:
[ ]     Individual Membership (s), 1 season Ticket $35
[ ]   Individual Senior/Student Membership(s), 1 season ticket $25
[ ]   Family Membership, Family Season Pass $75

TAX DEDUCTIBLE DONOR CONTRIBUTION
A generous tax deductible contribution, over and above the amount of the annual 
membership above, helps further support MVAC programs.  When you become
a donor, your name will appear on event programs under the following catagory:

[ ]     Sustaining          $30 - $49
[ ]     Sponsors           $50 - $99
[ ]     Patrons              $100 - $249
[ ]     Benefactor (Bronze)    $250 - $499
[ ]     Benefactor (Silver)    $500 - $999
[ ]     Benefactor (Gold)    $1000+

Main Page / Mission / Performers Schedule  / Raffles / Tickets / Memberships


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