CONTRIBUTION
      
NAME RECOGNITION: UP TO $499 $  
INDIVIDUAL SEATS: $500 EACH $  
LOBBY STARS: $3,000 EACH $  
GREEN ROOM: $25,000 $  
DRESSING ROOMS: $25,000 EACH $  
DANCE FLOOR / STAGE: $25,000 $  
OTHER:   $  
  TOTAL $  
OPTIONS FOR YOUR CONTRIBUTION:
PLEASE EVENLY DIVIDE MY TOTAL GIFT OVER 12 MONTHS WITH MONTHLY PAYMENTS DUE BY ____________ EACH MONTH.

PLEASE EVENLY DIVIDE MY TOTAL GIFT OVER 3 YEARS WITH ANNUAL PAYMENTS DUE BY ____________ EACH YEAR.

ONE PAYMENT. PAYMENTS ENCLOSED, OR WILL BE SENT BY ____________.

PAYMENT INFO
ENCLOSED IS CHECK VISA MC AMERICAN EXPRESS
ACCT#:   EXP. DATE:  
SIGNATURE  
PLEASE MAKE CHECKS PAYABLE TO THE RITZ THEATER FOUNDATION

FOR PHONE ORDERS CALL: 612.623.7660

OR MAIL TO:

THE RITZ THEATER FOUNDATION
820 18TH AVENUE NE
MINNEAPOLIS, MN 55418-4573
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