Mercyhurst Preparatory School

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Thank you for becoming an MPS Performing Arts Scholarship Patron! You are helping to provide the life-changing opportunity for a deserving student to become a Performing Arts Laker.

Please decide on a Patron level that is right for you. Gifts of all sizes combine to make a tremendous impact for the students.

Patron Levels:

* Each patron level is for a one year membership.

*Patron names will be listed in performance programs for one year.

*MPS Director and Broadway Patrons will receive V.I.P. passes to one year of MPS performances, (2 passes at the Director level, 4 passes at the Broadway level).

MPS Green Room

$25.00

MPS Curtain Call

$100.00

MPS Director

$500.00

MPS Broadway

$1,000.00

Total: $0.00

How would you like your name listed in the program book?

Program listing:

Donor Information:

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

E-mail: *

A receipt will be e-mailed to this address.

Alumni

Class of:

Maiden name if applicable:

Parent of Current Student

Parent of Alumni

Grandparent of Alumni

MPS Faculty/Staff

Business/community partner/friend

Thank You!

Your Payment Information:

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *