Southampton Village Resident Discount Membership Card Application Form
SOUTHAMPTON PLAYHOUSE
APPLICATION PROCESS
To apply, please provide the requested information below. Once received, we will process your Discount Card and send a confirmation directly to your email. If you prefer not to submit your information through this form, you may email it to BOXOFFICE@SOUTHAMPTONPLAYHOUSE.COM or bring it in person to the box office. Applications may take up to one week to process. Thank you for being a member of our community.
Application Date
*
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Month
-
Day
Year
Date
NAME
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
How to Provide Proof of Voting Residence
A simple way to verify your Voting Residence status is to visit https://voterlookup.elections.ny.gov, enter your details, and then take a screenshot of the information that appears.
Please upload the screenshot below.
*
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if you wish to send to us directly please do to accounting@southamptonplayhouse.com
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