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SUPER FAN Member Form
For just $9.99/Month (or more) you can ensure the Lebowsky Center for Performing Arts continues to bring the highest quality performances to their stage.
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Name
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Street Address
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City
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State
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Zip Code
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Phone Number
*
Your answer
Billing Information | Credit Card Number
*
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Expiration
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CVV
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I authorize Lebowsky Center for Performing Arts to charge my credit card monthly for the amount specified below
*
$9.99/month | YES
$19.99/month | YES
Other:
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Name(s) as you would like to be listed in our show program
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