Membership WSO Society Order Form 2011 - 2012 Season


YES . . . I would like to support the symphony by:

__ Renewing my membership in the WSO SOCIETY
__ Becoming a first-time member of the WSO SOCIETY


__ WSO Concertmaster: $2,000
        Acknowledgement in all WSO media promotion and printed material and 4 tickets to all concerts in 36th season series

__ WSO Angel: $1,000 and up
        Acknowledgement in printed concert programs and 2 tickets to all concerts in 37th season series

__WSO Benefactor: $750 and up
        Acknowledgement in printed concert programs and 2 tickets for all concerts in 37th season series

__ WSO Patron: $500 and up
        Acknowledgement in printed concert programs and 2 tickets for all concerts in 37th season series

__ WSO Donor: $250 and up
        Acknowledgement in printed concert programs and 1 ticket for all concerts in 37th season series

__ Friend: $50 and up
        Acknowledgement in printed concert programs

Note: If you or your spouse is affiliated with a company that matches gifts to non-profits, please send the company application with your gift to us.

I should like to make this gift to the WSO in honor of ________________________________________________
Any gift amount would be greatly appreciated.  __________




Payment method: __   Check enclosed   __ Visa   __ MC

Card #   ________________________________ Exp. Date ________

Credit card signature   _____________________________________

Total Amount enclosed or charged $_____________

Name   _________________________________________________

Address   _______________________________________________

City   ________________________  State _____   Zip __________

Phone   ________________________




Send to:

WSO
P.O. Box 6023
Wallingford, CT 06492

Phone: (203)697-2261