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 Founding Member - Single at $5,000 each
 Founding Member - Couple at $7,500 each
 Total amount to be donated to the New Globe Theater
   Your donation is fully tax deductible.

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The New Globe Theater is a 501(c)(3) non-profit organization.
You will be mailed a letter that can be used for tax purposes to confirm your donation.

You can also print this page and fax it to The New Globe Theater at
(212) 633-1306, or print this form and mail it with a check to:

The New Globe Theater
c/o Chad Gracia, Director of Development
425 West 13th Street, Suite 504
New York, NY 10014

If you have any questions, please call our office at (212) 645-6860,
or send us an e-mail to

© The New Globe Theater, 2007