North Country Center for the Arts
PO Box 1060, Lincoln, NH 03251
603-745-6032
email info@papermilltheatre.org
I would like to make a TAX-DEDUCTIBLE donation to the Papermill Theatre’s Annual Fund.
Producer…..………….$5,000 and Up Stage Manager…………$250 – $499
Playwright…………..$2,500 – $4,999 Performer………………$100 – $249
Director……….……..$1,000 – $2,499 Friend……………………….up to $99
Designer…………………$500 – $999
Please list me/us on the Playbill as ______________________________________________
Please do NOT list me/us on the Playbill.
My company has a matching gift program. Company name ____________________________
I have included NCCA in my will.
I wish to include NCCA in my will. Please send me suggested legal language.
Name ______________________________________________________________________
Street Address _______________________________________________________________
City _________________________________State _____________________Zip __________
Email ________________________________Telephone ( ______ ) _____________________
I wish to pay $ ____________ now and the remaining balance in equal installments in
the months of _____________, _____________, and _____________.
Enclosed is my CHECK in the amount of $ _________________________________
Please charge my CREDIT CARD in the amount of $ _________________________
Visa Master Card American Express Discover
Card # _____________________________________Exp. Date __________________________
Cardholder’s Signature ________________________________Today’s Date ________________
Thank you for your donation!







