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Rotary Centre for the Arts Donation Application Form
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* Indicates required question
Take a Seat! (The Mary Irwin Theatre Seat Sale)
Name of Donor
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Your answer
Contact Person (if different from above)
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Your answer
Address
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Your answer
City
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Your answer
Postal Code
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Your answer
Phone/Cell Number
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Your answer
Email Address
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Your answer
Desired Engraving (maximum of 50 characters)
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Your answer
I authorize Kelowna Visual & Performing Arts Society (Rotary Centre for the Arts) to process $100 payments for the duration of 10 months, totaling to $1,000 for the purchase of a seat in the Mary Irwin Theatre.
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Yes
Required
The payments will be taken from Credit Card Number:
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Your answer
Credit Card Expiry Date
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Your answer
Credit Card Security Code (CVV)
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Your answer
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