Secure Online Ordering from PATRON TECHNOLOGY Secure Online Giving
Thank you for supporting FREE SUMMER THEATRE to help provide a free live theatre experience to 15,000 underserved children in the New York City area.
Enclosed is my/our gift of*:
$10 Admits ONE student
$50 Admits FIVE students
$100 Admits TEN students
$250 Admits an ENTIRE CLASS (30 tickets)
$500 Brings a TEACHING ARTIST to a CLASS
$1,000 Brings an entire grade to the theatre (180 tickets)
$2,500 Brings a TWUSA performance to one school
$5,000 Brings a week-long ARTIST RESIDENCY to a Class
$10,000 Brings a TWUSA performance to an entire school district (approx. 1 week of performances)
Other amount
If you would like to specify the school or students to receive your gift, please complete the following information: Name of School: Address of School: Contact at School: Phone # and email address: Grade or class #:
Note to Theatreworks:
Please Enter Your Personal Information:
Title:
First Name*:
Last Name*:
Company:
Address*:
Address 2:
City/State/Zip*:
Phone*:
E-mail*:
Please Enter Your Payment Information:
Credit Card*:
Account Number*:                 
Expiration Date*:
Name on Card*:
Please Enter Your Billing Information:
My billing information is same as my personal information
My billing information is as follows:
Name:
Address:
Address 2:
City/State/Zip:
Donation Sub-total:   $
Total:    $
* denotes REQUIRED INFORMATION
Theatreworks/USA is a 501(c)(3) not-for-profit organization. Your donation, less goods and services received, is tax-deductible to the fullest extent allowed by law.