San Diego Early Music Society
PO Box 82008
San Diego, CA 92138
Hold the longest note you can in this time of cutback to the arts...
| ___ FUSA (Students) | $20 |
| ___ FUSA (Single) | $25 |
| ___ FUSA (Household) | $35 |
| ___ SEMIMINIMA | $50 - $99 |
| ___ MINIMA | $100 - $249 * |
| ___ SEMIBREVIS | $250 - $499 ** |
| ___ BREVIS | $500 - $999 *** |
| ___ LONGA | $1000 - $2499 # |
| ___ MAXIMA | $2500 - $4999 ## |
| ___ DOUBLE MAXIMA | $5000 amd up ### |
_____________________________________________________________
| * | 1 SDEMS bonus ticket |
| ** | 2 SDEMS bonus tickets, CD |
| *** | 3 SDEMS bonus tickets, CD |
| # | 4 SDEMS bonus tickets, CD |
| ## | 5 SDEMS bonus tickets, CD |
| ### | 6 SDEMS bonus tickets, CD |
| Total amount: | $______________ |
| Payment method: | ___ Visa ___ MasterCard ___ Check or Money Order (enclosed) |
| Credit card number: | ____________________________________ Exp. date: __________ |
| Cardholder’s name: | ______________________________________ |
| Signature: | ______________________________________ |
| Name: | ______________________________________ |
| E-mail address: | ______________________________________ |
| Telephone: | ______________________________________ |
| Street address: | ______________________________________ |
| Street address (line 2): | ______________________________________ |
| City: | ______________________________________ |
| State/province: | ______________________________________ |
| Zip/postal code: | ______________________________________ |
| Country: | ______________________________________ |
___ Please do not list my name in the directory or concert programs.
I play the following early musical instrument(s):
_______________________________
I sing: ___ soprano ___ alto ___ tenor ___ bass