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Wright Opera House Annual Membership
Name
*
$
First Name
Last Name
$
One Time
Recurring
Address
*
$
Address Line 1
Address Line 2
City
State
Zip
$
One Time
Recurring
Email
*
$
$
One Time
Recurring
Individual
*
$
$
x $50.00
One Time
Recurring
Family
*
$
$
x $100.00
One Time
Recurring
Phone
*
$
$
One Time
Recurring
Colorado Tax Payers
*
$
$
One Time
Recurring
If you are a Colorado tax payer, please indicate last 4 digits of your tax ID.