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You can become a member and/or subscriber<br />
by phone: 727.498.5205<br />
online: freefalltheatre.com<br />
in person: 6099 Central Avenue, St. Petersburg<br />
or by mail: use the form below<br />
Name: _______________________________________________________________________________<br />
Address: __________________________________________________ Unit: ____________<br />
City: ________________________________________ State: ________ Zip: _________________<br />
Phone: _____________________________ Email: _____________________________________<br />
I would like to become a MEMBER at the:<br />
mFRIEND LEVEL ($100)<br />
mBRONZE LEVEL ($250)<br />
mSILVER LEVEL ($750)<br />
mGOLD LEVEL ($1,250)<br />
mPLATINUM LEVEL ($2,500)<br />
mDIAMOND LEVEL ($5,000)<br />
mDIRECTOR’S CIRCLE LEVEL ($10,000)<br />
mBENEFACTOR LEVEL ($25,000)<br />
Please indicate how you would like to be listed in our program:<br />
______________________________________________________________________________________<br />
I would like to become a SUBSCRIBER<br />
I would like ____ six-show season tickets at $249 each<br />
I would like ____ freePasses at $225 each<br />
Total amount enclosed $____________________<br />
mEnclosed is my check made payable to: <strong>freeFall</strong> <strong>Theatre</strong><br />
mPlease charge my credit card for the amount above in full.<br />
Card #: ____________________________________ Exp: __________________ CVV: _________<br />
Membership benefits begin upon payment and continue for 1 year. Visit<br />
our box office or mail this form to:<br />
<strong>freeFall</strong> <strong>Theatre</strong><br />
6099 Central Avenue<br />
Saint Petersburg FL 33710
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