form test – Charlotte Youth Ballet

Name

First Last

Address

Street Address City State ZIP Code

Email Address

Phone

Donation (Please select from drop-down)

Lasting Impression Donation

Donation Amount

Matching Gift Form included?

Employer Name

Please select which Nutcracker or Wizard of Oz performance below

*Tickets may be used for any of the Nutcracker performances December 6 – 8, 2019 (Fri. 12/6 at 7pm, Sat. 12/7 at 2pm and 7pm, Sun. 12/8 at 2:30pm) or Wizard of Oz performances March 13 – 15, 2020 (Sat. 3/14 at 2pm, 7pm, and Sun. 3/15 at 2:30pm)

Nutcracker (Friday, 12/6 at 7PM)
Nutcracker (Saturday, 12/7 at 2PM)
Nutcracker (Saturday, 12/7 at 7PM)
Nutcracker (Sunday, 12/8 at 2:30PM)
Wizard of Oz (Saturday, 3/14 at 2PM)
Wizard of Oz (Saturday, 3/14 at 7PM)
Wizard of Oz (Sunday, 3/15 at 2:30PM)

Please specify number of patron tickets for Nutcracker Friday 7 PM show

Please specify number of patron tickets for Nutcracker Saturday 2 PM show

Please specify number of patron tickets for Nutcracker Saturday 7 PM show

Please specify number of patron tickets for Nutcracker Sunday 2:30 PM show

Please specify number of patron tickets for Wizard of Oz Saturday 2PM show

Please specify number of patron tickets for Wizard of Oz Saturday 7PM show

Please specify number of patron tickets for Wizard of Oz Sunday 2:30 PM show

Total

$0.00

Annual Campaign (1)