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HARRINGTON OPERA HOUSE
SUPPORT
FORM
Mail to: Harrington Opera House
Society, PO Box 618, Harrington, WA 99134
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$25 Indivdual Membership |
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$ _______ |
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$35 Family Membership |
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$_______ |
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$35 Business Membership |
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$_______ |
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Donation |
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$_______ |
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Endowment |
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$_______ |
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I would like to purchase a plaque for $100 |
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$_______ |
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"In Honor Of" "In Memory
Of"
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________________________________________________________________
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________________________________________________________________ |
My Name: ____________________________________________________
Address : ________________ City:
__________________ State: ___
Zip: _________
Phone: __________________ E-mail:
_______________________________________
Notes or comments:___________________________________________________________
____________________________________________________________________________
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