Loveland Stage Company Membership Renewal Form:

Annual membership dues for the Loveland Stage Company are $10.00 for single, $15.00 for couple. These are due annually in May to continue LSC membership for the following year and be eligible to vote. Please complete and mail with check and updated membership information:

Date:                           Membership type: single__ Couple__
Membership Name(s)_____________________________________________

Address  _______________________________________________________

City  ______________________ State  __________ zip  _________________

Telephone  _________________  E-Mail  _____________________________

Renewal will be yearly in May

Questions? Call Paul Derham at 513-702-0567
Please enclose check ( payable to LSC) and this form and mail to:

Loveland Stage Company
Paul Derham – Membership
9930 Tall Oaks Ct.
Loveland, OH 45140-5591