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By joining Affton CenterStage Theatre Company now, you
will be supporting our growing community.
As a subscriber, you will receive the benefits listed below. Please print this form, fill it in, and
mail it with your check to the address below. Thank you very much for you support!
Please check one:
_____ $20 Friend
______ $50 Patron – As a Patron, you’ll receive two (2)
complimentary tickets to two productions, excluding the murder mystery.
______ $100 Angel – As an Angel, you’ll receive two (2)
complimentary tickets to three productions.
Please supply the following information. We will add you to our Mailing List.
Name: _________________________________________
Address: _____________________________________________
City/State/Zip:
____________________________________________
Phone: ________________________
Email address (optional):
____________________________________________
Today’s date: ____________
Please mail this form with payment to:
Affton CenterStage Theatre
c/o Ms Judy Rethwisch
1719 Stemwood Way
Fenton, MO
63026
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We are very interested in your opinions. Please take a moment to
answer these questions so we can learn more about you and how we can better
serve you.
How many ACT shows have you seen in the last 2 years? (circle one)
1-2 3-4 5-6
Which one(s) did you see?
___Murder
Mystery
___Children's
Show
___Fall
Show
How did you hear about ACT productions?
____Newspaper
____Mailer
____Word of Mouth
____Other
What is your age? (circle
one)
Under
21 21- 40 41-60 60+
What is your gender? ___Male ___Female
Are there specific shows you would like to see ACT do?
________________________________
________________________________
________________________________
In your business, would you consider arranging a
customer "thank you" by bringing her/him/them to our show for
discounted ticket prices?
____Yes ____No
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