Turnout Registration Form Name(s): Address: City:Province:Postal Code: Tel (mobile): Date of Birth: Email: Employer: Title: Name of member who recommended me for Turnout: I would like to refer a friend to Turnout: Name:Email: Turnout Donation Best Deal! r Début: $120 r Classic: $360 r Classic Plus: $600 r Other: $ Turnout Subscription* (includes one drink ticket for each performance) (minimum of $120) r Orchestra Circle: $357 r Balcony Circle: $257 I'd like to make my donation monthly r r Cheque made payable to The National Ballet of Canada r American Express r Master Card r Visa Card Number: Expiry: / Name as it appears on the card: Signature: Date: *Subscription purchase not required for Turnout membership. Recognition For the purposes of donor recognition and all correspondence, I would like my name listed as: r I wish my gift to remain anonymous E-Mailing Preferences r Promotions and Special Ticket Offers Payment can be returned to: r Electronic Tax Receipts The National Ballet of Canada – Turnout The Walter Carsen Centre for the National Ballet of Canada 470 Queens Quay West, Toronto, ON M5V 3K4 Fax: 416 345 8323 Tax Receipt The National Ballet of Canada is pleased to issue a tax receipt for total donation amount. The National Ballet of Canada is a registered charity Charitable Registration Number: 11905 1149 RR001 For more information about Turnout please contact Deanna Underwood at [email protected] or by phone at 416 345 9686 x370.
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