Print out this page, complete the form, and then mail to the address listed below or sign up online by clicking here Rescue the Russell Theater Annual Membership Be a part of history. Annual Memberships provide needed funds to help in the restoration. In addition to your premium gifts, you will receive periodic email updates from the Rescue the Russell Foundation, Inc. Help save one of Maysville's most important historic buildings.
Individual Membership # _____ Receive a Rosemary Clooney Music Festival Magnet	$ 15.00
Family Membership # _____ Receive a Magnet and Mug	$ 30.00
Corporate Membership # _____ Receive a Magnet, Mug & T-Shirt ____(L) ____(XL)	$ 75.00
STAR Membership # _____ Receive Magnet, Mug, Suncatcher & T-Shirt ____(L) ____(XL)	$ 100.00 or More _____
Number of bricks @ $25.00 per brick:	___________________________
AMOUNT ENCLOSED:	___________________________
Name/names to be printed on brick: _____________________________________________________________ _____________________________________________________________ _____________________________________________________________
Name:_____________________________________________________________ Address:___________________________________________________________ City, State Zip:_______________________________________________________ Phone:_____________________________________________________________ Email:______________________________________________________________
Print this form, complete it, and mail with check payable to:	Rescue the Russell Theater P.O. Box 371 Maysville, KY 41056