Donation & Orchestra Angel Form

NAME 
  Title First Name Middle Last
ADDRESS 

 
  City State Zip
TELEPHONE (             ) Check if Corporate
 
E-MAIL		 

Please enroll me as a member of the:

CATEGORY NAME TAX DEDUCTIBLE DONATION LEVEL
Endowment Fund $                              
Verdi Society $10,000.00 or more
Brahms Society $5,000.00 to $9,999.00
Mahler Society $2,500.00 to $4,999.00
Bach Society $1,000.00 to $2,499.00
Mozart Society $500.00 to $999.00
Handel Society $250.00 to $499.00
Haydn Society $100.00 to $249.00
Beethoven Society $25.00 to $99.00

Name		 
(as you want it to appear in the program)

Please circle the concert(s) and instrument(s) you prefer.   The donation for this program is $200.00 per listing. If you wish to sponsor the organist, the donation is $250.00.

Mozart: Requiem
Puccini: Messa di Gloria 		Handel:
Messiah, Part I 		Bach:
St Matthew Passion
November 22, 2009 December 18, 2009 March 21, 2010
Violin (6)
Viola (2)
Cello (1)
Double Bass (1)
Organ (1)
 Violin (6)
Viola (2)
Cello (1)
Double Bass (1)
Oboe (2)
Bassoon (1)
Trumpet (2)
Timpani (1)
Organ (1)
 Violin (12)
Viola (4)
Cello (2)
Double Bass (2)
Flute/Recorder (4)
Oboe (2)
Oboe d'Amorre (1)
English Horn (1)
Bassoon (2)
Organ (1)
Harpsichord (1)

Donor's Name 

In Memory of or In Honor of: 		 
(optional, please circle your choice) (Name as you want it to appear in the program)

Complete the form and mail with a check payable to:
The Long Island Choral Society, Inc.

Mail to:
The Long Island Choral Society, Inc.
Attn.: Howard Batsford, Treasurer
PO Box 8047, Garden City, NY 11530

TO HELP US AVOID ERRORS,   PLEASE PRINT ALL INFORMATION