Early Music Guild Contribution Form

Early Music Guild Membership and Contribution Form

NOTE: You may send us your credit card number via the Internet using our secure internet connection (requires an SSL capable browerser - check that the "lock" or "key" symbol is displayed in your browser's status bar). If you are concerned about security, then please print out and mail the form below with your check, or call the Early Music Guild Office at (206) 325-7066 to place you membership request over the phone.

Membership Categories:

Students/Seniors (limited income)..$25 
Members.........................$35-74 
Friends........................$75-149 
Donors........................$150-299 
Sponsors......................$300-499 
Benefactors...................$500-749 
Patrons.....................$750-1,499 
Cherubim..................$1,500-2,999 
Angels....................$3,000-4,999 
Archangels...............$5,000 and up

Membership Contribution (tax-deductible): $

Opera Circle Contribution (tax-deductible): $

I enclose my check (payable to Early Music Guild).

Please charge my

MasterCard.

Please charge my

VISA.

Card #: Exp. date:

Name:
Address 1:
Address 2:
City: State: ZIP:
United States Canada
Your email address:
Phone (day): (eve):

Check here if you work for a matching-gift company

Company name:
(please mail your company's matching gift form to the Guild's office)

Please make my donation anonymous.

Any Comments?

Return to Early Music Guild, 2366 Eastlake Avenue E., Suite #325, Seattle, WA 98102-3399.

For information or to charge by phone, call 206-325-7066.