Please print out this page, fill out completely and fax to: 631-277-1342
or mail to
Islip Arts Council
2011- 2012 CHAMBER MUSIC SERIES ORDER FORM
PLEASE SEND ____ SUBSCRIPTION(S) for all 5 CONCERTS @ $100. each subscription
| _____McDermott Trio & Friends with Paul Neubauer, Violist |
Sunday, September 25 at 3 P.M. |
| _____Colorado Quartet | Sunday,October 23 at 3 P.M. |
| _____KammerConnect | Sunday, March 11 at 3 P.M. |
| _____Serenade Duo & Friends with Matthew Pierce String Quartet | Sunday, April 1 at 3 P.M. |
| ____McDermott Trio & Friends with Tara O'Connor, Flutist | Sunday, Aprill 22, 2012 at 3 P.M. |
Name________________________________________________________________________
Address______________________________________________________________________
City_________________________________________ State___________Zip______________
Phone (Day)______________________________(Eve)________________________________
________Check Enclosed ______Charge my VISA/MASTERCARD/AMEX
Account No.____________________________________________ Exp. Date_______________
Signature ____________________________________________________________________
Do you have any friends who might like to join our series? Please list:
Name_______________________________ Address___________________________________
{Do Not Write Below } FOR OFFICE USE ONLY
DATE RECEIVED_____________# SUBSCRIPTIONS ____________SEAT #_____________
Thank you!
For more information, call 631-224-5420
or email us at info@islipartscouncil.org