MEMBERSHIP APPLICATION

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Concert Schedule 2008-2009

History of Society

Artistic Director

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Membership Application

Concert Program Notes

HARRY JACOBS CHAMBER MUSIC SOCIETY, INC. P.O. BOX 15286 AUGUSTA GA 30919-1286 PHONE: 706-790-9274 or 706-736-9098

PLEASE PRINT APPLICATION
Membership Application Please make check payable to: Harry Jacobs Chamber Music Society and mail to: HJCMS Memberships P.O. Box 15286 Augusta, GA 30919-1286 2008-2009 Season For further information, phone Ruth St. Clair at 706-790-9274
Name (as you wish to be listed in the program) _________________________________________ Mailing Address: _________________________________________ _________________________________________ _________________________________________ Telephone:________________________________
Check enclosed for:
___ Single Membership(s) at $90.00 (Each Single Membership includes one ticket to each concert.)	$___________
___ Double Membership(s) at $180.00 (Each Double Membership includes two tickets to each concert.)	$___________
Tax Deductible Contribution (Much needed for program & Society support) (Receipt upon request)	$___________
Total amount of enclosed check	$___________
Tickets available at the door or from ASU Box Office: Adults (18 years & older): $25.00 School-age children (6 to 18 yrs and currently enrolled): $7.00 Augusta State University students, faculty & staff with valid ASU ID: Admitted free No children under six-years-old admitted.