CRYSTAL M. ST. ROMAIN COSTUME ROOM FUND

NAME ____________________________________________________

ADDRESS _________________________________________________

PHONE NUMBER ___________________________________________

E-MAIL __________________________________________________

I/we pledge $______________(monthly/quarterly/annually)

for a total of $_____________ to participate in the costume room

fund in memory of Crystal M. St. Romain.

Signature __________________________________________________

Send check and pledge form to: REACHING FOR THE STARS Conejo Players Theatre 351 S. Moorpark Road Thousand Oaks, CA 91361-1008.