The Guild of Florida Grand Opera - Membership Form 2008-2009 Season

 ( )   Dual Annual Membership * $100.00
     *Two people at the same address
( )   Single Annual Membership $ 75.00
Your contribution is tax deductible within the limits of the law

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FGO Patron # 


Name (Please Print)


Second members name (if Dual Membership)


Street Address Apt. #


City State Zip


Daytime phone             Evening phone             email address


Payment Information

( )  Please charge $__________to my credit card: 
( )  American Express ( ) MasterCard ( ) Visa ( ) Discover


Card #________________________________________Expiration Date:_________

Signature ___________________________________________________________

Enclosed is my check for $____________Payable to Florida Grand Opera _______

We would love to get you more involved!  Select any areas you wish to volunteer for below:
( ) Membership ( ) Mailing Committee  ( ) Special Events ( ) Telephone Committee 
( ) Consider me for a Board member


Please mail to: 
Florida Grand Opera
Attention: GUILD Membership – Rocio Carbonell 
Doral Center, 8390 NW 25 Street, Miami, Florida 33122

Submitted by ________________________(M2005)

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A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE (800-435-7352) WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL OR RECOMMENDATION BY THE STATE . STATE OF FLORIDA SOLICITATION #CH3662.FLORIDA GRAND OPERA RETAINS 100% OF YOUR CONTRIBUTION.