Fred Oldfield Western Heritage Center Dinner Theater Reservation Form   Name Reserved Under Total Number in Party    Address: City: State: Zip: E-Mail: Contact Telephone: I am already a Fred Oldfield Western Heritage Center member    If you would like to purchase a membership with this order you can take advantage of Member Discounts immediately. Just select the membership catagory you desire from the dropdown box below.       Membership desired:               Please Select One from this list $20 - Senior (62+) $20 - Student (full time) $30 - Individual $45 - Family (2ind + kids under 18) $100 - Associate (4 ind) $1000+ Heritage Patron (3yr Family Membership) $2500+ Heritage Proctor (9 year Family Membership) $5000+ Heritage Partner (LIfetime Family Membership) If purchasing a membership, please enter the price of membership selected WITHOUT the dollar sign (This price will be added to this order)    $ Grand Total for this Registration: $       Credit Card Card you are using Visa MasterCard Card # Expiration Month and Year Month Jan Feb Mar Arp May Jun Jul Aug Sep Oct Nov Dec Year 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015   Please send your check or credit card information (MasterCard or Visa) to: The Fred Oldfield Western Heritage Center 2522 No. Proctor #14 • Tacoma, WA 98406   Please fill out the form and submit once.

The Fred Oldfield Western Heritage & Art Center is a Non-Profit 501 (c) (3) Corporation
All donations to this Center are Tax Deductable.
Your generous contribution will be instrumental in bringing bigger and better arts opportunities to the citizens of our region.