EARLY BIRD SPECIAL!  Save $5.00 if your subscription application is received by June 15, 2011.  Note that purchase of season pass for next season (2011-2012) will allow you to attend the Wind Soloists of New York concert in May free!

Make Payable to:
Mid Columbia Community Concert Association
Mail to: POX 286, The Dalles, OR 97058

Questions? Call Patti Blagg @ 541-298-4352 or Robert Lerud 541-298-7331 or Irene Fields 541-386-3055.

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MCCCA Subscriber Application 2011-2012

Adult Subscription: $60.00 x # of season passes:	__________	$ ____________
Sr (65+) $55.00 x # of season passes:	__________	$ ____________
Family Subscription $125.00 x # of season passes:	__________	$ ____________
Student subscription $35.00 x # of season passes:	__________	$ ____________
Additional Contributions: (Cresendo Giving)
Fortissimo	$500 or more	$ ____________
Forte	$201 - $499	$ ____________
Mezzo-Forte	$101 - $200	$ ____________
Piano	$51 - $100	$ ____________
Pianissimo	$10 - $50	$ ____________
	TOTAL:	$ ___________

Fortissimo, Forte, Mezzo-Forte and Piano Cresendo patrons are listed in the program. MCCCA is a 501(c)(3) organization. Donations are tax-deductible if itemized on your tax return.

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Email Address:  ____________________________________
(for concert alert information)

NAME: _________________

Telephone: (____) ___________________________

Street Address: _________________

City/State/Zip: __________________________________

Please circle ONE: NEW or RENEWAL

Subscription passes will be mailed August 2011