First Name:*

Last Name:*

Address

Street:

City:

Zip Code:

Telephone:*

Email:*

I am interested in the following:

  Volunteering

  Membership

  Financial Contribution

If volunteering, check the boxes you are interested in:

  Orchestra

  Director

  Light Operator

  Sound Person

  Box Office

  Usher

  Costumes

  Set Building

  Directing

  Activities Coordinator

  Publicity Coordinator

  Other

If other, please list:

If becoming a member: Please send a check to the box number below stating whether you would like an individual or family membership

  Individual $10

  Family $25

If Donating Financial Assistance: Please send a check to the box number below and include the printed form.

Falls Patio Players
PO Box 904
Menomonee Falls, WI 53052

Hotline (262) 255-8372