If you would prefer to use a Credit Card please click here .

To use this form please print and mail to: PO BOX 32022, Charlotte, NC 28232, or Fax to 704.334.3468, please call before faxing.

Season Tickets (Tax Included)
Item	Quantity $30.00 to $48.00
Regular Season Tickets $48.00
Student/Senior Season Tickets $30.00
Donor w/ 2 Season Tickets (Tax Included)
Item	Dollars towards donation - Any Amount
Donor Categories w/ 2 Season Tickets Program Sponsor $1000+ Angel $500-999 Major Benefactor $250-499 Benefactor $200-249 Sustainer $175-199 Patron $125-174 Friend $100-124 Friend $60 (One season ticket)
Special Contributions
Item	Amount
Contribution to the Ann T. Hite Fund for Education
Contribution to the CPM General & Artistic Fund
Totals
Total Items
Total Price

Shipping / Billing Information
Name (As you want in the program)
Address
City, State, Zip
Phone Number
Email Address

Print this form and mail to: PO BOX 32022, Charlotte, NC 28232, or Fax to 704.334.3468, please call before faxing.

Contribution are tax deductible to extent allowed by law.