Useful Information

Membership Application

Connecticut Opera Guild

Membership Application

September1, 2009 to August 31, 2010

Please enclose your check and mail to:

Mrs. Richard F. Larkins, Membership Chairperson

7 Manor Lane, West Hartford, CT 06107

Enclosed is my check for $__________payable to the

Connecticut Opera Guild .

PATRON………………………………….. 150.00

SUPPORTING…………………………… 100.00

CONTRIBUTING………………………… 60.00

HUSBAND & WIFE……………………… 50.00

INDIVIDUAL……………………………… 40.00

OUT OF STATE…………………………… 20.00

STUDENT (Full Time)…………………… 5.00

___ RENEWAL ___NEW MEMBERSHIP

NAME_______________________________________

ADDRESS ___________________________________

____________________________ZIP CODE________

e-mail __________________________

Contributions to the Connecticut Opera Guild are deductible for income tax purposes.

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