The Guild of Florida Grand Opera Membership Form

The Guild of Florida Grand Opera - Membership Form 2009-2010 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

*************************************************************

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:
Rosa Rita Gonzalez - GUILD Membership
230 174th Street #1508
Sunny Isles Beach FL 33160

Submitted by ________________________(M2005)

BACK TO HOME

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.