POA Books 2018-19 | Page 21

Become a Patrons of the Arts Subscriber! To become a subscriber, complete and return this form to the address below. For full subscription level details, visit weinsteinjcc.org/cultural-arts or contact Lisa Looney at [email protected] or 804.545.8608. WEINSTEIN JCC PATRONS OF THE ARTS SUBSCRIPTION FORM Mail to: Weinstein JCC Attention: Patrons of the Arts 5403 Monument Ave. Richmond, VA 23226 PATRONS OF THE ARTS LEVEL: ❍ ❍ ❍ ❍ ❍ ❍ Friend of the Arts - $475 Artist - $695 Promoter - $1,500 Director - $3,000 Producer - $7,500 Executive Producer - $12,000 Name(s) or Company Name: Contact Person (if Company): Street: Apt./Suite #: City/State/Zip: Email: Phone: ❍ I have enclosed a check payable to Weinstein JCC ❍ Please Bill Me ❍ Please charge my credit card: ❍ Visa ❍ Mastercard Card #: Expiration date: ❍ AMX Security Code: