MEMBERSHIP APPLICATION

Main Page

Concert Schedule 2010-2011

History of Society

Artistic Directors

Board, Officers, Committees

Membership Application

Concert Program Notes

Harry Jacobs Chamber Music Society, Inc.

P.O. BOX 15286 AUGUSTA GA 30919-1286 PHONE: 706-790-9274 EMAIL LINK FOR AGENTS & ARTISTS: EMAIL ARTISTIC DIRECTORS

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 2010-2011 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.)	$___________
___Children’s Membership(s) at $42.00 (Each Children’s Membership includes one ticket to each concert. This is for the convenience of parents who are members to avoid having to wait in line to purchase tickets for children.)	$___________
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.