RCMS All-Purpose Order Form

Print this form and mail it with your check to order tickets and to make contributions.

NAME:

STREET:

APT:

STREET 2:

CITY:

ST:

ZIP:

PHONE - DAY:

EVE:

EMAIL (IMPORTANT!!):


TICKET ORDER

ADULT TICKETS @ $25.00 ea. by 9/30/16
(@ $30 ea. from 10/1/16)

_____ tickets for Canadian Brass SOLD OUT
_____ tickets for Wheelock Whitney
_____ tickets for The Four Nations Ensemble
_____ tickets for Claremont Trio
_____ tickets for Puck Quartet

TOTAL $ _________

STUDENT TICKETS @ $5.00 ea.
(for students under 23 with valid ID - children under 13 are admitted free)

_____ tickets for Canadian Brass SOLD OUT
_____ tickets for Wheelock Whitney
_____ tickets for The Four Nations Ensemble
_____ tickets for Claremont Trio
_____ tickets for Puck Quartet
TOTAL $ _________

_____ 2016-2017 SERIES @ $80.00 ea.

           Booklet of 4 tickets by 9/30/16          

TOTAL $ __________

 

TICKET TOTAL $___________


CONTRIBUTION

_____ Sponsor

$1,000 and above

_____ Benefactor

$250 to $999

_____ Patron

$100 to $249

_____ Friend

up to $99

 

CONTRIBUTION $

 

TOTAL ENCLOSED $

PRINT OUT AND MAIL THIS FORM

Mail to...

PRINT OUT AND MAIL THIS FORM AND YOUR CHECK TO:
Rhinebeck Chamber
Music Society, Inc.
P.O. Box 465
Rhinebeck, NY 12572-0465

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