Chamber Music Society of Utica

    General Student
1. Frackenpohl Honors Brass Quintet at HCCC, 29 September 2011 1:00 PMbonusbonus
2. Ying Quartet, 16 October 2011 2:30 PM   $20.00 $10.00
       
3. Adaskin String Trio, 20 November 2011 2:30 PM   $20.00 $10.00
       
4. Amadeus Trio, 22 January 2012 2:30 PM   $20.00 $10.00
       
5. Renaissance City Winds, 12 February 2012 2:30 PM   $20.00 $10.00
       
6. Morgenstern Trio, 11 March 2012 2:30 PM   $20.00 $10.00
       
7. ETHEL,  15 April 2012 at Hamilton College 3:0 PMbonusbonus
8. Kalichstein-Laredo-Robinson Trio, 22 April 2012 2:30 PM   $20.00 $10.00
       

Total Value

  $120.00 $60.00
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 _________________________________________________________

Please make checks payable to: The Chamber Music Society

Mail to:

Natalie T. Combar
Box 97
Bridgewater, N. Y. 13313

Phone: 315-822-4392 or 315-896-6102