Membership Form - Canterbury School

Required

Muses of the Arts Platinum (Lifetime) Membership Renewal

Membership Levelrequired

First Namerequired

Last Namerequired

Emailrequired

Phonerequired

Address 1required

Cityrequired

State/Provincerequired

Zip/Postal Coderequired

Country

How would you like to be recognized in theater production programs?required

ex: The Smith Family, John and Jane Smith, Mr. & Mrs. John Smith, etc

Platinum (Lifetime) Annual Renewal

$100.00

Emailrequired

Provide an email address for the receipt.

Please select a payment typerequired

Card

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Address

City

State/Province

Country

Zip/Postal Code

Cardholder Namerequired

First

Last

Expirationrequired

Month

Year