Chamber Music Society of Utica

		General	Student
1. Orion String Quartet, 28 September 2008 2:30 PM		$20.00	$10.00
2. Lydian String Quartet  / Steve Heyman, piano, 2 November 2008 2:30 PM		$20.00	$10.00
3. Borealis Wind Quintet, 18 January 2009 2:30 PM		$20.00	$10.00
4. TAGI, 15 February 2009 2:30 PM		$20.00	$10.00
5. Triple Helix, 22 March 2009 2:30 PM		$20.00	$10.00
6. Borealis String Quartet, 19 April 2009 2:30 PM		$20.00	$10.00
Total Value		$120.00	$60.00
Season Subscription - General		$75.00
Season Subscription - Senior		$65.00
Season Subscription - Student		$30.00

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