Film Fan Benefit Form 2022 Film Fan Benefit Form Thank you for your membership!Name* First Last Email* PhoneHow would you like to receive your merchandise benefits?* Pick up in the lobby during a film. We will confirm your film attendance. Please mail my benefits and charge my card on file $10 for shipping and handling. I wish to decline my merchandise benefits. Your acknowledgment will be adjusted to reflect your gift’s tax-deductibility. Film and Date Mailing address:Shirt sizeSizes are unisex, 60% Combed Ring-Spun Cotton 40% Polyester from Next Level Apparel. Small Medium Large XLarge 2XLarge 3XLarge 4XLarge I would like to purchase additional shirts for $30 each, please charge my card on file. Yes No Please list the size(s) and quantity of any additional shirts you would like to purchase. If you have any questions or need assistance, please contact Danielle Johnson at djohnson@old.austintheatre.org or (512) 692-0512. Δ
