FRIENDS OF PLUMA PICTURES
1680 N.Vine, Suite 520
Hollywood, CA 90028

(Please Print)

Name: _______________________________ Telephone: _____ - ______________

Address: ____________________________________________________________
              Street                                          City                      State           Zip

Types of Membership

Personal

___ $ 50 Individual
___ $ 75 Family
___ $ 25 Student / Senior Citizen (65+)
___ $100 Patron
___ $500 Sponsor+ (Sponsors will be listed on our website)

___ Other $___ (Any amount you are able to help us with is appreciated.)

Corporate
Corporate FRIENDS will be listed on our website.)

___ Companions ($1,000 +)
___ Silver Patron ($2,500 +)
___ Golden Patron ($5,000 +)
___ Other (Any amount you wish to contribute is appreciated)

Other Ways of Giving

____ In memoriam $1,500 (In memoriam gifts will be listed on our website)
In the name of: _____________________________________________

____ A specific donation for the production of one of our two films:
____ “Healer Interrupted” ____ “Day of Darkness”

Thank you for making your generous gift payable to Pluma Pictures.

Please give us the names, addresses, and telephone numbers of
people you think will want to become Friends. Thank you!