Join the 3 Ring Circus Education Foundation

Yes!  Sign me up for the Circus!

Name:     ________________________________________

Address:  ________________________________________

          ________________________________________

Phone:    ________________________________________

E-mail:   ________________________________________


__ Peanut Gallery ($25)         	__ High Wire ($150)
   ($15 for artist/student/
    musician) 				__ Lion Tamer ($250)

__ Flying Trapeze ($50) 		__ Chuckles the Clown ($500)                               

__ Juggler ($75)                	__ Ringmaster ($1000)


__ I have enclosed a check or money order made out to
      3 Ring Circus in the amount of $ _______________

__ I would like to use my credit card:__ Visa __ M.C. __ Am. Ex.

    Full name as it appears on credit card: ____________________

    Billing address: ___________________________________________

    Card number: _______________________________________________

    Expiration date: ___________  Full amount: ___________

    Signature: _________________________________________________

__ This is a gift.  Please send membership to:

      Name:      _______________________________________________

      Address:   _______________________________________________

                 _______________________________________________

__ I would like to give an additional gift to 3 Ring Circus of $_____.
    (100% tax deductible)


__ I would like to volunteer at events.
   (Great! Thanks, call us when there’s one you want to work!)