Chamber Music Society of Utica

    General Student
1. Johannes String Quartet, 23 October 2016 2:30 PM   $20.00 $10.00
       
2. Jupiter String Quartet, 20 November 2016 2:30 PM   $20.00 $10.00
       
3. Spanish Brass, 29 January 2017 2:30 PM   $20.00 $10.00
       
4. Minetti Quartet, 26 February 2017 2:30 PM   $20.00 $10.00
       
5. Hermitage Piano Trio, 9 April 2017 2:30 PM   $20.00 $10.00
       
       
       

Total Value

  $100.00 $50.00
Season Subscription - General   $80.00  
Season Subscription - Senior   $70.00  
Season Subscription - Student   $35.00  
Single tickets for any one concert: General $20.00, Student $10.00

Enclosed is ______________________________ to cover the cost of the following subscriptions:

____ General ____ Senior ____ Student ____ Single tickets for any one concert.

Enclosed is my tax-deductible contribution:

_______ ($50-$99) Friend _______ ($500 +) Benefactor

_______ ($100-$249) Donor _______ (Other)

_______ ($250-$499) Patron

[ ] My name should appear on the concert programs as shown below.
[ ] I do not wish my name to appear on the concert program.

(Please print)

Name _________________________________________________________
Address _________________________________________________________
City _________________________________________________________
State _____________________________________ Zip ________________
Phone _________________________________________________________
Email _________________________________________________________

Please make checks payable to: The Chamber Music Society

Mail to:

Natalie T. Combar
98 Harrogate Rd.
New Hartford, N Y 13413

Phone: 315-507-3597 or 315-896-6102