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Ballet Midwest Membership Form
Performance Season: 2024 Nutcracker and 2025 Romeo & Juliet
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Email
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Your email
Name (Last, First)
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Your answer
Address (Street)
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Your answer
Address (City, State Zip)
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Your answer
Phone (555-555-5555)
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Your answer
How would you like to be listed in the programs?
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Ballet Midwest Membership Tiers
Membership Tier
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Donor ($75-$149)
Sponsor ($150-$299)
Patron ($300-$499)
Benefactor ($500-$999)
Underwriter ($1000+)
Membership Donation Amount:
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Your answer
Your membership will not be processed until payment is received. Checks (made out to Ballet Midwest) can be mailed or delivered to Barbara’s Conservatory of Dance, 4300 SW Huntoon, Topeka, KS 66604. You may also pay online by coming back to
https://balletmidwest.net/support
after submitting this form. Click the "Donate" button at the bottom of the page.
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Check (please mark "2024-2025 membership" on memo line)
Online Payment
Ticket Delivery: We will contact you when your complimentary membership tickets are ready.
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Pick Up at Barbara’s Conservatory of Dance
Interested in Volunteering? We're always looking for help! Please check all that interests you.
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Costuming
Backstage Crew
Stage Floor Set-up and Tear-down
Sales Table/Flower Sales
Marketing
Room Monitors for Performances
Other
Check here if you are NOT a Jr. Company or Company Parent
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Are you supporting a Dancer? Please enter his/her name below.
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