Richard Jay Simon Artistic Director		DONATE NOW Thank you so much for joining the Mosaic Theatre Family of Donors, ensuring the longevity of one of "South Florida's Greatest Treasures." Click here to make a HONORARIUM or MEMORIAL GIFT.  Learn more about our prestigious FOUNDERS SOCIETY and how you can LEAVE A LEGACY through Planned Giving.   1. Please complete the name and address section below Name Address City/State/Zip Telephone E-mail I wish to remain anonymous.     2. Your purchase I wish to donate Select Amount $25 $50 $100 $200 $500 $1,000     I plan to apply for a Matching Gift SHOWCASE AD PURCHASE Total Amount Due 3. Your payment I am sending a check made payable to Mosaic Theatre      12200 West Broward Blvd., Plantation, FL 33325 Please bill my credit card Visa    Mastercard    Discover    Amex Name On Card Card Number Exp. Date JAN FEB Month MAR APR MAY JUN JUL AUG SEP OCT NOV DEC   Year 2008 2009 2010 2011 2012 2013 How did you hear about the show?   MAIL TO MOSAIC THEATRE, 12200 West Broward Blvd., Plantation, FL 33325 PHONE (954) 57-STAGE (78243)        FAX (954) 473-4713
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		American Heritage Center for the Arts, 12200 West Broward Boulevard, Building 3000 Plantation, Florida 33325,  phone: (954) 577-8243