Donation & Orchestra Angel Form

NAME 
  Title First Name Middle Last
ADDRESS 

 
  City State Zip
TELEPHONE (             ) Check if Corporate

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.

Brahms: Requiem Handel: Messiah, Part I Verdi: Requiem
November 16, 2008 December 19, 2008 April 19, 2009
Violin (8)
Viola (4)
Cello (3)
String Bass (2)
French Horn (4)
Piccolo
Flute (2)
Oboe (2)
Clarinet (2)
Bassoon (2)
Contra Bassoon
Trumpet (2)
Trombone (3)
Tuba
Harp
Timpani
 Violin (6)
Viola (2)
Cello
String Bass
Oboe (2)
Bassoon
Trumpet (2)
Timpani
Organ
 Violin (12)
Viola (6)
Cello (3)
String Bass (2)
French Horn (4)
Flute (3)
Oboe (2)
Clarinet (2)
Bassoon (4)
Trumpet (4)
Off-Stage Trumpet (4)
Trombone (3)
Tuba
Percussion (2)

Donor's Name 

In Memory of: 		 
(optional) (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