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PayPal Paramount Fan Club Donation Form
Donate to our non-profit theatre!
5
Questions
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1
Full Name
*
This field is required.
First Name
Last Name
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2
E-mail
*
This field is required.
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3
Phone Number
*
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Area Code
Phone Number
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4
Join the Paramount Fan Club
*
This field is required.
Platinum: $250, Gold: $100, Silver: $75, Bronze: $50
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( X )
250
USD
100
USD
75
USD
50
USD
Please enter a dollar amount (e.g. 50.00)
USD
+ OR enter a custom value
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5
All donors of $50 or more will have their names listed in our display
Please tell us how you would like your name displayed. (Example: Jane & Kevin Jones)
If you wish to remain anonymous please type none. Thank you!
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