Your Name:
E-mail:	(Ex.: yourname@gmail.com)
# of Tickets ($25):	0 1 2 3 4 5 6 7 8 9 10 ($10 donated to group of your choice)
Name(s) of attendees:
Theatre Company or Drama Dept. to receive $10 donation(s):
"Support Local Theatre!" T-Shirt ($15): Names of local theatre groups on back with "Support Local Theatre!" on front	Qty: Small (all sizes are "adult" sizes) Qty: Medium Qty: Large Qty: X-Large Qty: XX-Large
Memory Book for 2015 $25 for pre-paid orders ordered by December 17. Memory Books will include a page for each participating theatre group and a section for individual performers for all those coming to the dance (deadline December 17).	Qty: Memory Book(s) to be picked up at event To submit a headshot or other photo(s) for the memory book, e-mail  them to rob@nationalyouththeatre.com.
For the individual section of the Memory Book,  please include the name of the actor, what roles  he/she performed in 2015 and where, and  optionally a favorite memory of the year:
Memory Book Advertising:	1/4 Page ($25) 1/2 Page ($40) Full Page ($60)
I would like to Volunteer at the dance if needed (Name):
Other Comments:
* Please note, we will calculate your order and send you an e-mail with a itemized bill using PayPal *