Warminster
Symphony Orchestra
ANNUAL SUBSCRIPTION FORM 2011-2012 SEASON:
Please complete all details below and send this form and your check to:
Warminster Symphony Society • c/o B. Patrick • 800 Ivers Lane, Warminster, PA 18974
Name (
EXACTLY as it should appear in the program)_______________________________________________________________________________Address___________________________________ City____________________ State______ ZIP__________
Telephone________________________ E-mail Address ____________________________________________
SUBSCRIPTION LEVELS:
Family
(2 Adults, Children under 18) $90.00 No.________ Amount______________ # Children (under 18)
Individual $50.00 No.________ Amount________
Sr. Citizen (62 and over) $45.00 No.________ Amount________
Student (with I.D.) $20.00 No.________ Amount________
Additional Donations
(see Donation and Subscription Levels) ________Total Remittance ________
Tickets for the ENTIRE SUBSCRIPTION SEASON will be mailed to you upon receipt of
your application and check. Questions? Call 215-672-9650
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