Yes, I
want to become a Patrons Circle Member!
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Address |
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Please
choose a level:
ð ARIA CIRCLE $50 to $99 level
ð DUET CIRCLE $100 to $249 level
ð TRIO CIRCLE $250 to $499 level
ð CONDUCTOR CIRCLE $500 to $749 level
ð ORCHESTRA CIRCLE $750 to $999 level
ð OPERA CIRCLE $1000+ level
ð While I
do not wish to join the Patrons Circle, please accept my gift as indicated
below
Payment
Options:
1. A cheque
in the amount of $ _____________ is enclosed, made payable to Opera in Concert.
2.
Please charge $ _____________ to my ð VISA ð MasterCard
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Expiry
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Signature |
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ð I wish to remain anonymous. Do not publish my name
in the house programme
Please
print this form, complete and return to:
OPERA IN CONCERT
947 QUEEN STREET EAST, 2ND FLOOR
TORONTO, ON
M4M 1J9
or by Fax: (416) 922-5935
For more information,
please contact us by phone at: (416)
922-2147 or visit: www.operainconcert.com
Opera in
Concert is a registered charitable organization: 11906 8864 RR 0001