Donation Information

All contributions of $125.00 and greater are eligible for membership benefits. New memberships will be in effect for one year from the date of donation. Renewals will be extended for one year beyond your current membership's expiration date.

For those who are 35 and younger can become a 35 Mainstage Millennial member for just $50. At the (35MM) level you receive all the Mainstage Benefits including access to the Season Announcement Party on May 22, 2019.

If you have any questions about your donation please email membership@lvpac.org or call 925.583.2305.

Please complete the form below and click on "Submit" to make your tax-deductible donation.

To submit this form, all "*" fields must be filled in.

Contact Information

First Name*

Last Name*

Street Address*

City*

State* UNITED STATES Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming CANADA Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon

Zip*

Daytime Phone*

Evening Phone

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Birth day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

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Email*

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Membership Information

Check all the items that apply

New

Renewal

Donation Amount*

Membership Level

Mainstage ($125)

Applause ($250)

Encore ($500)

Ovation ($1,000)

Artiste ($2,500)

Maestro ($5,000)

Virtuoso ($10,000)

Impresario ($25,000+)

35MM ($50) ~For Members 35 years of age or under. Please add your Birthday to the Special Instructions.~

My gift is for:

The Greatest Need

LVPAC Education Fund

Student Ticket Fund

Bothwell Arts Center

My employer will match my contribution.

Please see your Human Resources department for information on your employer's matching gift program.

Joint Gift?

Is this a joint gift with your spouse/partner? Yes No

Spouse/Partner First Name

Spouse/Partner Last Name

Payment Information

Payment Info

We recognize Annual Donors by listing them in the program and on the donor wall.

Please list my/our name as:

I prefer to remain anonymous

Special Instructions