Gift Membership Form

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Please note: If you are purchasing a Membership that includes 2 or more Members (Senior Dual or higher), you will have the opportunity to add additional members' information at the end of the form. Please enter information for only one of the gift recipients below.

Confirmation email will be sent out immediately upon completion of purchase.

Please select to whom you'd like RRT to send the Gift Membership materials - you (the purchaser) or the recipient - and then enter a gift message, if desired.

Include a submember in your membership registration

First Name *

Last Name *

Birthday

For free admission to a film during birthday month!

Phone *

Address *

Apt/Unit/Suite

City *

State *

Zip *

Secure Payment

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Send purchase confirmation email to: *

Me (the purchaser)

Gift recipient

Confirmation Email *

Please ensure this email belongs to the individual selected above.

Gift Recipient Email (required, if not entered above) *

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Please mail Gift Membership materials to: *

Gift Message

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Purchaser Full Name(s) *

Full Mailing Address (Street #/Name, City, State, Zip) *

Please enter your complete mailing address.

Phone *

Email *

Notes/Additional Information

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Include a submember

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Choose Existing Contact(s)

Membership Level *

I would like to automatically renew my membership

First Name *

Last Name *

Birthday

For free admission to a film during birthday month!

Phone

Add {{subMemberDisplayName}}

Secure Payment

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{{orderSummary.membershipOrderItem.startDate}} - {{orderSummary.membershipOrderItem.endDate}}

{{orderSummary.membershipsTotal==0?'Free':formatAmount(orderSummary.membershipsTotal)}}

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Membership auto-renews monthly for {{ formatAutoRenewAmount(sm.membershipInstallment.cost) }} until {{ sm.membershipInstallment.endDate }}

Membership auto-renews on {{sm.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(sm.membershipAutoRenew.cost)}}

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Discount Code

Code:

-{{formatAmount(orderSummary.codeDiscount)}}

Order summary

Subtotal {{formatAmount(orderSummary.subtotal)}}

Discounts -{{formatAmount(orderSummary.discounts)}}

Total {{formatAmount(orderSummary.total)}}

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Card

ACH

or enter your card details below

Cardholder First Name *

Cardholder Last Name *

Cardholder Email

Card *

Billing address is the same as mailing address

Address Line 1

Address Line 2

City

State/Province

Zip *

Country

Amount:

{{formatAmount(totalAmount)}} USD

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Learn more about our Membership levels and accompanying benefits here.

Memberships are valid for one year from the date of purchase and must be renewed annually to continue to receive benefits.

Questions? Contact us at membership@redrivertheatres.org.

Membership level allows for a maximum of {{term.subMemberAllowed}} submembers.

	Contact Name	Membership Level
	{{item.contactName}}	{{item.membershipLevel==null?'-':item.membershipLevel}} {{item.startDate}} - {{item.endDate}}
No contacts.