Please print out this page, fill out completely and fax to: 631-224-5418
or mail to
Islip Arts Council
2009- 2010 CHAMBER MUSIC SERIES ORDER FORM
PLEASE SEND ____ SUBSCRIPTION(S) for all 4 CONCERTS @ $90. each subscription
| _____Escher String Quartet | Saturday, October 17 at 8 P.M. |
| _____Imani Winds | Saturday, November14 at 8 P.M. |
| _____Enso String Quartet | Saturday, March 20 at 8 P.M. |
| _____Aulos Ensemble | Saturday, April 17 at 8 P.M. |
| ____ Daedalus Quartet | Sunday May 2 at 2 PM Boulton Center, Bay Shore |
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 [email protected]