Obsidian Theatre Company

Membership/Donation Form 

*Print form and return to:

Obsidian Theatre Company Inc. is a registered charity #87327 3122 RR0001 

DATE (DD/MM/YY)_____/_____/________________________________

NAME____________________________________________________

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COMPANY_________________________________________________

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ADDRESS_________________________________________________

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CITY_____________________________________________________________

POSTAL CODE________________   

PHONE___________________________________________________

E-MAIL____________________________________________________________

I wish to donate $_________________and/or

I wish to be a member $_________________

Total:                   $_________________ 

All Donors will receive a charitable receipt, advance notice of Obsidian Theatre Company 

events and recognition in our program.

Please make your cheque out to Obsidian Theatre Company Inc.

(Donation may be used towards the Endowment Fund)

Thank you for your support.