HSF Contribution Form

Please complete this form, print this page, and mail it with your check made to:

Hamptons Shakespeare Festival
P.O. Box 63
Amagansett, NY 11930

I would like to join the Friends of the Hamptons Shakespeare Festival
at the following level:

	$50	YEOMAN
	$100	SQUIRE
	$250	KNIGHT
	$500	PEER
	$1,000	MONARCH
	$2,500	BARD
	$5,000	MUSE
	$	OTHER

I would like to receive Thank You Gifts and am aware that the
      tax-deductible portion of my donation will be reduced.
      My T-Shirt size is: Small Medium Large X-Large

My contribution will be matched through an employee matching
      gift program, and I have enclosed a matching gift form.

Name:
Address:
Town/City:	State: Zip:
Phone 1:	Phone 2:
E-mail:
How would you like your name acknowledged? (blank if same as above)