SOUTH SHORE SYMPHONY ORCHESTRA

WANT TO BE NOTIFIED OF UPCOMING CONCERTS?

[] I would like to be informed of upcoming South Shore Symphony Concerts. Please include me on your email notification list. (If you do not have an email address, please print your mailing address instead.)

Name___________________________________________

Email Address______________________________________________________

Mailing Address_____________________________________________________

Mail this form to the address below, or you can request to be placed on our mailing list by sending an email to: sssymphony@optonline.net

WE WOULD BE GRATEFUL FOR YOUR SUPPORT!

I wish to make the following contribution:

[] $5 - $49 Friend     [] $50 - $99 Supporter     [] $100 - $249 Donor

[] $250 - $999 Sponsor     [] $1000 - $2499 Patron     [] $2500 and up Benefactor

Enclosed is my contribution in the amount of: $__________________

[] I want to have my name appear as a contributor in the SSSO season programs

[] I wish to remain anonymous

If your employer has a program to match charitable gifts by employees, please find out how we can obtain their contribution. The South Shore Symphony/Rockville Centre Guild for the Arts is a tax exempt corporation. All contributions are tax-deductible.

Please make checks payable to:

South Shore Symphony Orchestra

Send your contribution to:

South Shore Symphony Orchestra

PO Box 1061

Rockville Centre, NY 11571-1061

VISIT OUR WEBSITE AT: www.sssymphony.org