I would like to join in the following membership level
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I would like to join in the following membership level
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$30 Friend
$50 Supporter
$100 Patron
$200 Artist's Circle
$300 Composer's Circle
$500 Director's Circle
Other (minimum $30)
Contact me to discuss a larger donation/sponsorship
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How do you want to be listed in programs and membership lists? (Write "Anonymous"
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How do you want to be listed in programs and membership lists? (Write "Anonymous"
if you do not want your name to appear)
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Best phone number to reach you.
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Best phone number to reach you.
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Yes, I would consider volunteering during band camp, on a committee or setup/teardown at a reception.
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Yes, I would consider volunteering during band camp, on a committee or setup/teardown at a reception.
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Yes
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Section 2 of 3
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STUDENT INFORMATION
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Student 1 LastName
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Student 1 LastName
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Student 1 FirstName
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Student 1 Grade
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1.
12
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11
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10
4.
9
5.
8
6.
7
7.
6
1.
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Student 1 Affiliation
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Student 2 LastName
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Student 2FirstName
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Student 2 Grade
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10
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9
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8
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7
7.
6
1.
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Student 2 Affiliation
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Student 3 LastName
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Student 3 FirstName
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Student 3 FirstName
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Student 3 Grade
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Student 3 Grade
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12
2.
11
3.
10
4.
9
5.
8
6.
7
7.
6
1.
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8.
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Student 3 Affiliation
*
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Student 3 Affiliation
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Section 3 of 3
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PAYMENT OPTIONS
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1. Pay using a Credit Card or PayPal
OR
2. Send a check payable to Orange Patronaires to: Orange Patronaires, 32000 Chagrin Blvd, Pepper Pike, Ohio 44124
Choose with payment method you are using.
If paying by Credit Card or PayPal, after submitting this form a message will appear containing a link to PayPal to complete the Credit Card Transaction
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Choose with payment method you are using.
If paying by Credit Card or PayPal, after submitting this form a message will appear containing a link to PayPal to complete the Credit Card Transaction
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Credit Card or PayPal (After you select SUBMIT, you will be redirected to PayPal. Please remember the amount of your desired membership level.
Sending in check
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I would like to join in the following membership level
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How do you want to be listed in programs and membership lists? (Write "Anonymous"
if you do not want your name to appear)
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Best phone number to reach you.
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Yes, I would consider volunteering during band camp, on a committee or setup/teardown at a reception.
Copy
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STUDENT INFORMATION
Student 1 LastName
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Student 1 FirstName
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Student 1 Grade
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Student 1 Affiliation
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Student 2 LastName
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Student 2FirstName
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Student 3 LastName
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Student 3 FirstName
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Student 3 Grade
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Student 3 Affiliation
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PAYMENT OPTIONS
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Thank You! Your Membership Information has been received.
Please complete your Membership with payment:
OPTION A: CREDIT CARD or PayPal at: https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=S72RB9CZFMKCY
OR
OPTION B: CHECK payable to:
Orange Patronaires, 32000 Chagrin Blvd, Pepper Pike, Ohio 44124