First Name**
Last Name**
Company Affiliation
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 Friend of the New Globe Theater Benefit Ticket(s) at $100 each

I cannot attend, but I would like to make a donation: $ 

 Total amount to be donated to the New Globe Theater
   Your donation is fully tax deductible.

Please make my gift anonymous

Name of Host extending Invitiation

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Credit Card**
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All tickets will be held at the door. The New Globe Theater is a 501(c)(3) non-profit
organization. After the event, you will be mailed a letter that can be used for tax
purposes to confirm your donation.

You can also print this page and fax it to The New Globe Theater at
(212) 918-9283, or print this form and mail it with a check to:

The New Globe Theater
425 West 13th Street, Suite 504
New York, NY 10014

If you have any questions, please call our office at (212) 645-6860,
or send us an e-mail to

© The New Globe Theater, 2007