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Join Us For Our 63rd Season
2008-2009 Membership Application
Benefactor ** (6 memberships) $350 $ ________
Sponsor ** (4 memberships) $175 $ ________
Patron ** (2 memberships) $100 $ ________
Friend ** $50 each X ______ $ ________
Adult $35 each X ______ $ ________
Student $10 each X ______ $ ________
Family Patron ** $110 (2 adults + children living at home) $ ________
No. of children's tickets needed _____

Family $80 (2 adults + children living at home) $ ________
No. of children's tickets needed _____

** Name listed in program and invitation to "Meet the Artist" reception following
a selected concert. (An added value for the categories marked with "**".)

Name ____________________________________
Address ____________________________________
City/State ______________________ ZIP __________
Telephone ( ____ ) ___________

Check Enclosed (Make check payable to "Hartsville-Coker Concert Association")
Charge my   Visa   MasterCard Expiration Date _____  Card # ____________________
Name on Card ________________________ Signature _____________________________

If you would like to receive concert reminders and updates electronically,
please provide your e-mail address: ___________________________________

Return this completed application, with your check or credit card information, to:
Hartsville-Coker Concert Association, P.O.Box 2283, Hartsville, SC 29551-2283