Phantom Regiment - Drum & Bugle Corps

Phantom Regiment Booster Club
Chevron Club - $600 Level

Name (as it should appear on donor list):	Alum, Staff, Volunteer? If so, what years:

E-mail Address:	Phone Number:
	- -
Mailing Address:

City:	State:	Zip:

Shirt Size #1: Male Female	Shirt Size #2: Male Female

Do you want to receive the benefits associated with this level? Yes please send membership benefits. Do not send any membership benefits; I prefer that my entire donation be all tax deductible.

Do you want to receive show tickets associated with this level? Yes please send show tickets. Do not send show tickets as I am unable to attend on Saturday, June 21, 2008.

Comments: (Enter any seating requests below)