Port Arthur Little Theatre
Season Membership Form

Name ______________________________________________________

Address ____________________________________________________

City/State/Zip ________________________________________________

Home Phone ______________ E-Mail Address ______________________

Type of Membership ______________________ Amount Enclosed _______

Patron Memberships and Above
Print your name below as you wish it to appear on PALT's programs

____________________________________________________________

Family Memberships
Give the number of household members ___________________________

Student Memberships
Include the name of the school you attend __________________________

Print out and complete this form, enclose a check for the amount
of the membership(s) being purchased and mail it to:

Port Arthur Little Theatre
PMB 118
8691 Ninth Ave.
Port Arthur, TX 77642

For information, call the PALT business line at 724-1840