NYCPlaywrights Supporter Membership Form

Date:__________________________________________________

Name: _________________________________________________

Contact Information:

Phone: _____________________________________________________

Email: ______________________________________________________

Supporter membership is $20 for a 6-month period. Membership may be discontinued at the discretion of NYCPlaywrights.

NYCPlaywrights is a 501(c)(3) nonprofit corporation.

I understand and agree to these terms

Your signature: ____________________________________________________________

Checks can be mailed to:
NYCPlaywrights
3044 29th St
7P
NY NY 11102