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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. |