STAGEWORKS PARTNERSHIP FORM - Printable Version

Print this page using your browser's "Print" function. Fill out all appropriate fields and mail or fax it to us with your payment to:
Stageworks/Hudson, 41-A Cross Street, Hudson, NY 12534
FAX: (518) 828-4026. Questions? Call us any time at (518) 828-7843.

PARTNERSHIP LEVEL — Please select your tax deductible gift level.

I would like to become a Stageworks Partner in the following category:

O » 
Surrealist (totally over the top!) $10,000
O » 
Fantasist (beyond our wildest dreams) $5,000
O » 
Modernist (cutting edge contributor) $1,000
O » 
Classicist (backbone contributor) $500
O » 
Romanticist (a true theater lover) $250
O » 
Realist (makes a real difference) $100
O » 
Improv (whatever works best for you) » $

PAYMENT USING CHARGECARD*
  (American Express, Discover, Mastercard or Visa)
Card Number: 
 
Expiration Date: 
 
Security Code: 
 

Enter the name as shown on your credit card, and the billing address for this card:
First Name: 
 
Last Name: 
 
Street: 
 
City: 
 
State: 
 
Zipcode: 
 
Phone: 
 
Email (for our confirmation message): 
 

OPTIONAL INFORMATION
Acknowledgement in playbills, etc: 
 

Additional acknowledgement:

Add:         O » "in memory of"            O »"in honor of"
("Your name in memory/honor of acknowledgement name")
Comments: 
 

We Depend on You! Ticket sales cover only a small portion of our operating costs. Stageworks depends on individual contributors like you to help make up the crucial difference.

Your donation enables Stageworks to continue to illuminate the importance of theater as a medium for social change and reinforcement of community through both our professional Mainstage productions and vital programs for young people. This has always been and remains at the core of Stageworks' mission – we will be a careful steward of your tax deductible gift whether it is $25 or $10,000!

Thank You! Your generosity provides necessary resources that help us sustain our mission. When you become a Stageworks Partner, your name will be listed in our Mainstage playbills, on lobby plaques and elsewhere whenever our contributors are recognized. A separate email confirmation will be sent within 2 business days followed by our official tax letter in the mail.

Stageworks On The Hudson, Inc. is a not-for-profit 501(c)3 organization. Contributions are fully tax deductible as allowed by law.

*Charge cards are processed "in-house" — we do not send your information to a third party vendor for processing.