Seat Campaign Form

A donation of $250 or more includes a personalized nameplate on one of our new theater chairs

Name*
First Last
Phone
Email*
Are you a member of The Friends of The Ross?
- Yes
- No
Priced per Seat
Price:
Quantity*
Seat Name*
Seat Name 2*
Seat Name 3*
Seat Name 4*
Seat Name 5*
Seat Name 6*
Seat Name 7*
Seat Name 8*
Seat Name 9*
Hidden
Seat Name 10*
Optional Extra Donation
Total
$0.00
Credit Card
Card Details
Cardholder Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
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Are you a member of The Friends of The Ross?*
- Yes
- No
Email*
Name
First Last

Donation Form

Make a donation to help support The Ross

Name*
First Last
Phone
Email*
Referring Member
Price*
Total
$0.00
Credit Card
Card Details
Cardholder Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
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Film Buff Membership

2 complimentary passes Discounted admission for immediate family members Invitation to special film-related events

Name*
First Last
Phone
Email*
Referring Member
Membership type
- New Membership
- Renew Membership
- This is a gift
This is a gift from:
This is a gift to:
Please mail this membership to:*
- Gift Recipient
- Gift Buyer
Gift Recipient Address
Street Address Address Line 2 City State ZIP Code
Gift Recipient Phone
Gift Recipient Email
Membership Total
Price: $100.00
Credit Card
Card Details
Cardholder Name
Address
Street Address Address Line 2 City State ZIP Code
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Director Membership

4 complimentary passes Discounted admission for immediate family members Invitation to special film-related events

Name*
First Last
Phone
Email*
Referring Member
Membership type
- New Membership
- Renew Membership
- This is a gift
This is a gift from:
This is a gift to:
Please mail this membership to:*
- Gift Recipent
- Gift buyer
Gift Recipient Address
Street Address Address Line 2 City State ZIP Code
Gift Recipient Phone
Gift Recipient Email
Membership Total
Price: $175.00
Credit Card
Card Details
Cardholder Name
Address
Street Address Address Line 2 City State ZIP Code
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Untitled

Producer Membership

6 complimentary passes Discounted admission for immediate family members Invitation to special film-related events

Name*
First Last
Phone
Email*
Referring Member
Membership type
- New Membership
- Renew Membership
- This is a gift
This is a gift from:
This is a gift to:
Please mail this membership to:*
- Gift Recipient
- Gift Buyer
Address
Street Address Address Line 2 City State ZIP Code
Gift Recipient Phone
Gift Recipient Email
Membership Total
Price: $350.00
Credit Card
Card Details
Cardholder Name
Address
Street Address Address Line 2 City State ZIP Code
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Senior (60+) Membership

2 complimentary passes Discounted admission

Name*
First Last
Phone
Email*
Referring Member
Membership type
- New Membership
- Renew Membership
- This is a gift
This is a gift from:
This is a gift to:
Please mail this membership to:*
- Gift Recipient
- Gift Buyer
Gift Recipient Address
Street Address Address Line 2 City State ZIP Code
Gift Recipient Phone
Gift Recipient Email
Membership Total
Price: $45.00
Credit Card
Card Details
Cardholder Name
Address
Street Address Address Line 2 City State ZIP Code
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Movie Mogul Membership

8 complimentary passes Discounted admission for immediate family members Invitation to special film-related events

Name*
First Last
Phone
Email*
Referring Member
Membership type
- New Membership
- Renew Membership
- This is a gift
This is a gift from:
This is a gift to:
Please mail this membership to:*
- Gift Recipient
- Gift Buyer
Gift Recipient Address
Street Address Address Line 2 City State ZIP Code
Gift Recipient Phone
Gift Recipient Email
Membership Total
Price: $550.00
Credit Card
Card Details
Cardholder Name
Address
Street Address Address Line 2 City State ZIP Code
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Individual Membership

2 complimentary passes Discounted admission

Name*
First Last
Phone
Email*
Referring Member
Membership type
- New Membership
- Renew Membership
- This is a gift
This is a gift from:
This is a gift to:
Please mail this membership to:*
- Gift Recipient
- Gift Buyer
Address
Street Address Address Line 2 City State ZIP Code
Gift Recipient Phone
Gift Recipient Email
Membership Total
Price: $50.00
Credit Card
Card Details
Cardholder Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
CAPTCHA

Executive Producer Membership

10 complimentary passes Discounted admission for immediate family members Invitation to special film-related events

Name*
First Last
Phone
Email*
Referring Member
Membership type
- New Membership
- Renew Membership
- This is a gift
This is a gift from:
This is a gift to:
Please mail this membership to:*
- Gift Recipient
- Gift Buyer
Gift Recipient Address
Street Address Address Line 2 City State ZIP Code
Gift Recipient Phone
Gift Recipient Email
Membership Total
Price: $1,000.00
Credit Card
Card Details
Cardholder Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
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Family Membership

2 complimentary passes Discounted admission for immediate family members

Name*
First Last
Phone
Email*
Referring Member
Membership type
- New Membership
- Renew Membership
- This is a gift
This is a gift from:
This is a gift to:
Please mail this membership to:*
- Gift Recipient
- Gift Buyer
Gift Recipient Address
Street Address Address Line 2 City State ZIP Code
Gift Recipient Phone
Gift Recipient Email
Membership Total
Price: $75.00
Credit Card
Card Details
Cardholder Name
Address
Street Address Address Line 2 City State ZIP Code
CAPTCHA

Student Membership

2 complimentary passes Discounted admission

Name*
First Last
Phone
Email*
Referring Member
Membership type
- New Membership
- Renew Membership
- This is a gift
This is a gift from:
This is a gift to:
Please mail this membership to:*
- Gift Recipient
- Gift Buyer
Gift Recipient Address
Street Address Address Line 2 City State ZIP Code
Gift Recipient Phone
Gift Recipient Email
Membership Total
Price: $45.00
Credit Card
Card Details
Cardholder Name
Address
Street Address Address Line 2 City State ZIP Code
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ALL THE LONELY PEOPLE

Copyright © 2003 – 2020
Mary Riepma Ross Media
Arts Center
313 North 13th Street | 402.472.5353

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Seat Campaign Form

Subscribe to Newsletter

Donation Form

Film Buff Membership

Director Membership

Producer Membership

Senior (60+) Membership

Movie Mogul Membership

Individual Membership

Executive Producer Membership

Family Membership

Student Membership